DESERT WINDS BEHAVIORAL HEALTH LLC (NPI# 1467699777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467699777 |
Entity Type | Organization |
Organization Name | DESERT WINDS BEHAVIORAL HEALTH LLC |
Practice Address |
6127 W. Westwind Dr. Glendale AZ 85310 |
Practice Telephone | 6238790168 |
Practice Fax Number | 6238790168 |
Mailing Telephone | 6238790168 |
Mailing Fax Number | 6238790168 |
Enumeration Date | 2009-01-08 |
Last Update Date | 2010-01-28 |
Authorized Official Name | MRS. CAMELIA IGNA (PROGRAM DIRECTOR/ADMINISTRATOR) |
Authorized Official Telephone | 6238790168 |
Authorized Official Credential | PROGRAM DIRECTOR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | BH3092 | AZ | Agencies |
N | 251K00000X | Public Health or Welfare | BH3092 | AZ | Agencies |
N | 251S00000X | Community/Behavioral Health | BH3092 | AZ | Agencies |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH3092 | AZ | Residential Treatment Facilities |
N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
BH3092 | AZ | Respite Care Facility |
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-3092 | AZ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS | 486880 | 01 |
Street Address |
6127 W. WESTWIND DR. |
City | GLENDALE |
State | AZ |
Zip Code | 85310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316597479 | Diana Olp | Technician | 5003 W. Creedance Blvd., Glendale, AZ 85310 | 2019-09-19 |
1972091940 | Daniel Hamilton | Physician Assistant | 4946 W Electra Ln, Glendale, AZ 85310 | 2018-04-25 |
1265958615 | Rose Ilene Wesol | Registered Nurse | Copper Creek Elementary School, 7071 W Hillcrest Blvd, Glendale, AZ 85310 | 2017-08-17 |
1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
1811129026 | Hope Healthcare, LLC | Home Health | 6022 W Robin Ln, Glendale, AZ 85310 | 2009-08-20 |
1083835235 | Amy Marie Mccluer | Occupational Therapy Assistant | 7071 W. Hillcrest Blvd., Glendale, AZ 85310 | 2007-05-02 |
1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
1124185228 | Daas Healthcare, LLC | Internal Medicine | 19841 N.27th Ave, Suite 300, Phoenix, AZ 85310 | 2007-01-02 |
1467545160 | Rgl Development, LLC | Assisted Living Facility | 6735 West Hillcrest Blvd, Glendale, AZ 85310 | 2006-10-02 |
1730199373 | Carl William Woerner | Chiropractor | 23425 N 39th Drive, Suite 103, Glendale, AZ 85310 | 2006-08-08 |
Find all providers in zip 85310 |
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 |
1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 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.