JFOX II LLC


Address: 5327 E Enrose Cir, Mesa, AZ 85205-5489
Phone: 4802435469

JFOX II LLC (NPI# 1144835968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144835968
Entity Type Organization
Organization Name JFOX II LLC
Practice Address 5327 E Enrose Cir
Mesa
AZ 85205-5489
Mailing Address Po Box 454
Mesa
AZ 85211-0454
Practice Telephone 4802435469
Practice Fax Number 8775888282
Mailing Telephone 4802435469
Enumeration Date 2020-09-09
Last Update Date 2020-09-09
Authorized Official Name DR. JENN RAMIREZ (MANAGER)
Authorized Official Telephone 4802435469
Authorized Official Credential SOCIAL WORKER
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Red Mountain Cove Doing Business As Name - Organization

Office Location

Street Address 5327 E ENROSE CIR
City MESA
State AZ
Zip Code 85205-5489

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1780177535 Legacy Senior Management LLC Community Based Residential Treatment Facility, Mental Illness 152 N 56th St Ste B, Mesa, AZ 85205-8718 2018-06-07
1003344367 Ptl Behavioral Health, LLC Community Based Residential Treatment Facility, Mental Illness 10839 E Sonrisa Ave, Mesa, AZ 85212-5126 2017-05-31
1811322795 Pavillion Community Based Residential Treatment Facility, Mental Illness 963 E 9th Pl, Mesa, AZ 85203-5623 2013-09-10
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1992911226 Marc Community Resources, Inc. Community Based Residential Treatment Facility, Mental Illness 6433 E Quartz St, Mesa, AZ 85215-0948 2007-05-15
1215143540 Marc Community Resources, Inc. Community Based Residential Treatment Facility, Mental Illness 2664 E Hermosa Vista Dr, Mesa, AZ 85213-2306 2007-05-15
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Competitor

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City MESA
Zip Code 85205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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