SONORAN SKY COMMUNITY SERVICES (NPI# 1366988933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366988933 |
| Entity Type | Organization |
| Organization Name | SONORAN SKY COMMUNITY SERVICES |
| Practice Address |
5148 W. Frier Dr Glendale AZ 85301 |
| Mailing Address |
9601 N Black Canyon Hwy Phoenix AZ 85021-2702 |
| Practice Telephone | 6022160518 |
| Practice Fax Number | 6026740942 |
| Mailing Telephone | 6022160518 |
| Mailing Fax Number | 6026740942 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | SUSAN SOYARS (DIRECTOR) |
| Authorized Official Telephone | 6022160518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH5001 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTH PLAN | BH5001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1770029340 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4226 W. Marco Polo, Glendale, AZ 85308 | 2017-01-06 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1629514294 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3913 W Lone Cactus Dr, Glendale, AZ 85308-4700 | 2017-01-06 |
| 1538605100 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4508 W El Caminito Dr, Glendale, AZ 85302-6513 | 2017-01-06 |
| 1619413283 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5650 W Desert Jewel Dr, Glendale, AZ 85302-4664 | 2017-01-06 |
| Street Address |
5148 W. FRIER DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| 1740449925 | Jessica Aren Watkins | Pediatrics | 7734 N. 59th Ave, Glendale, AZ 85301 | 2008-06-03 |
| Find all providers in zip 85301 | ||||
| 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 |
|---|---|---|---|---|
| 1619505054 | Joy Recovery and Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 24212 N 42nd Dr, Glendale, AZ 85310-3232 | 2020-03-31 |
| 1275163214 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 17219 N Lindner Dr, Glendale, AZ 85308-3308 | 2020-01-17 |
| 1730607300 | Sonoran Sky Community, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5710 W Orchid Ln, Glendale, AZ 85302-4654 | 2017-09-05 |
| 1861932097 | Ska-shifra Facility | Community Based Residential Treatment Facility, Mental Illness | 7136 N 73rd Dr, Glendale, AZ 85303-2569 | 2017-03-07 |
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| Find all providers in GLENDALE | ||||
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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.