EMPIRE GROUP HOMES LLC


Address: 1629 W Lacewood Pl, Phoenix, AZ 85045-0814
Phone: 6024303705

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1629 W LACEWOOD PL
City PHOENIX
State AZ
Zip Code 85045-0814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831701457 Demechiona Nicole Gray Social Worker 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 2020-08-17

Providers in the same zip code

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
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235736018 Happy Valley Community Services LLC Community Based Residential Treatment Facility, Mental Illness 1106 E Cochise Dr, Phoenix, AZ 85020-1550 2020-10-05
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
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Competitor

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City PHOENIX
Zip Code 85045

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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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