SAGUARO FOUNDATION (NPI# 1275041238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275041238 |
Entity Type | Organization |
Organization Name | SAGUARO FOUNDATION |
Practice Address |
4717 W Sharon Ln Somerton AZ 85350-7127 |
Mailing Address |
1495 S 4th Ave Yuma AZ 85364-4603 |
Practice Telephone | 9286271602 |
Mailing Telephone | 9287836069 |
Mailing Fax Number | 9287820061 |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |
Authorized Official Name | MICHAEL VANGUILDER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9287836069 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992998348 | Saguaro Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1495 S 4th Ave, Yuma, AZ 85364-4603 | 2007-08-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SAGUARO FOUNDATION COMMUNITY HOME PROGRAM | 1495 S 4th Ave, Yuma, AZ 85364-4603 |
Street Address |
4717 W SHARON LN |
City | SOMERTON |
State | AZ |
Zip Code | 85350-7127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
1932755840 | Nohemi Azucena Ramirez | Specialist/Technologist | 215 N. Carlisle Ave., Somerton, AZ 85350 | 2019-08-15 |
1285164244 | Alexandra Pierre-bez | Dentist | 115 North Somerton Ave, Somerton, AZ 85350 | 2017-06-13 |
1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
1619346905 | Katya Madrid | Specialist/Technologist | 806 E Ramona St, Somerton, AZ 85350 | 2015-09-17 |
1972999605 | Portable Practical Education Preparation, Inc. | Clinic/Center | 201 S. Bingham Avenue, Somerton, AZ 85350 | 2015-04-09 |
1659765329 | City of Somerton | Ambulance | 445 E Main St., Somerton, AZ 85350 | 2015-03-20 |
1437307196 | Patricia A. Parks | Physical Therapist | 215 N Carlisle Ave, Somerton, AZ 85350 | 2008-09-05 |
1639336936 | Brenda Valenzuela | Counselor | 215 N. Carlisle Ave, Somerton, AZ 85350 | 2008-05-22 |
Find all providers in zip 85350 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SAGUARO FOUNDATION.
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.