EMPIRE GROUP HOMES LLC (NPI# 1275158719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275158719 |
Entity Type | Organization |
Organization Name | EMPIRE GROUP HOMES LLC |
Practice Address |
1629 W Lacewood Pl Phoenix AZ 85045-0814 |
Practice Telephone | 6024303705 |
Mailing Telephone | 6024303705 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Authorized Official Name | MS. AMBER R. NASSER (OWNER) |
Authorized Official Telephone | 6024303705 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Street Address |
1629 W LACEWOOD PL |
City | PHOENIX |
State | AZ |
Zip Code | 85045-0814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701457 | Demechiona Nicole Gray | Social Worker | 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 | 2020-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093964199 | Kristin Gwen Deel | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 85045 | 2008-09-12 |
1710067681 | Mark William Dardis | Naturopath | 15424 S 1st Ave, Phoenix, AZ 85045-0400 | 2006-10-16 |
1023183902 | Wendy Eleanor Picarello | Chiropractor | 14629 S 3rd Ave, Phoenix, AZ 85045-0454 | 2006-11-23 |
1396733663 | Pamela M Burgoyne | Social Worker | 14623 S 4th Ave, Phoenix, AZ 85045-0456 | 2005-10-11 |
1639421175 | Megan Ann Hinz | Specialist/Technologist | 14850 S 5th Ave, Phoenix, AZ 85045-0468 | 2012-10-08 |
1114062007 | Cheryl E Cuyler | Social Worker | 16215 S 1st Ave, Phoenix, AZ 85045-0510 | 2007-02-20 |
1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
1811152648 | Quality Life Care LLC | Emergency Response System Companies | 630 W Muirwood Dr, Phoenix, AZ 85045-0620 | 2008-07-21 |
1437190824 | James Herzog | Physician Assistant | 1104 W Glenhaven Dr, Phoenix, AZ 85045-0733 | 2006-06-09 |
1255692745 | Erin Patricia Farley | Specialist/Technologist | 16 W Glenhaven Dr, Phoenix, AZ 85045-0740 | 2012-05-31 |
Find all providers in zip 85045 |
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] |
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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 |
1588281604 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1402 E Hoover Ave, Phoenix, AZ 85006-1737 | 2020-07-06 |
1174143846 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 14414 N 29th St, Phoenix, AZ 85032-5004 | 2020-04-22 |
1346860657 | Semper Fidelis Behavioral Health & Counseling, LLC | Community Based Residential Treatment Facility, Mental Illness | 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 | 2020-04-16 |
1548889793 | Shea Home LLC | Community Based Residential Treatment Facility, Mental Illness | 10435 N 40th St, Phoenix, AZ 85028-4043 | 2020-04-08 |
1699394858 | Acome Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4509 E Acoma Dr, Phoenix, AZ 85032-4855 | 2020-04-08 |
1033748009 | Optimum Care of Arizona LLC | Community Based Residential Treatment Facility, Mental Illness | 717 E Harwell Rd, Phoenix, AZ 85042-6655 | 2020-04-02 |
1043846561 | Happy Haven Az LLC | Community Based Residential Treatment Facility, Mental Illness | 1110 W Hadley St, Phoenix, AZ 85007-3610 | 2020-03-16 |
1942835806 | Mercy Favor and Grace Social Services | Community Based Residential Treatment Facility, Mental Illness | 9431 W Sheridan St, Phoenix, AZ 85037-4435 | 2020-03-10 |
Find all providers in PHOENIX |
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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.