THE EAGLE WATCH BHS QUINTANA (NPI# 1497109292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497109292 |
| Entity Type | Organization |
| Organization Name | THE EAGLE WATCH BHS QUINTANA |
| Other Organization Name | QUINTANA |
| Practice Address |
4145 E Megan St Gilbert AZ 85295-7736 |
| Practice Telephone | 6023692609 |
| Practice Fax Number | 4802071420 |
| Mailing Telephone | 6023692609 |
| Mailing Fax Number | 4802071420 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. JOHN M KAMAU (ADMINISTRATOR) |
| Authorized Official Telephone | 6023692609 |
| Authorized Official Credential | ADMIN |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EAGLE WATCH BHS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
BH4705 | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Quintana | Doing Business As Name - Organization |
| Street Address |
4145 E MEGAN ST |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-7736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437565389 | The Eagle-watch Behavioral Health Services LLC | Preferred Provider Organization | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2014-07-10 |
| 1144869561 | Infinity Groups Homes LLC | Community/Behavioral Health | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2020-01-02 |
| 1023656261 | Bkh Health Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2019-12-18 |
| 1437713948 | Albright Homes LLC | Psychologist | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851872832 | Genesis Living | Assisted Living Facility | 2839 E Courtney St, Gilbert, AZ 85298-5735 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511999 | Fanaka Enterprises LLC | Assisted Living Facility | 3925 E 1st St, Tucson, AZ 85711-1001 | 2020-09-07 |
| 1114536752 | The Heritage Behavioral Health Home LLC | Assisted Living Facility | 3927 W Rovey Ave, Phoenix, AZ 85019-1633 | 2020-07-29 |
| 1801420476 | Holy Trinity Behavioral,llc | Assisted Living Facility | 1630 W Nancy Ln, Phoenix, AZ 85041-5540 | 2020-02-23 |
| 1184258758 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5308 W Vernon Ave, Phoenix, AZ 85035-1953 | 2020-02-23 |
| 1487287108 | Christine M Kemboi | Assisted Living Facility | 8435 W Hughes Dr, Tolleson, AZ 85353-3902 | 2020-02-20 |
| 1154967826 | Home of Empathy LLC | Assisted Living Facility | 8102 E 6th St, Tucson, AZ 85710-2416 | 2019-11-18 |
| 1083261945 | D&g Behavioral Health LLC | Assisted Living Facility | 3119 N 46th Dr, Phoenix, AZ 85031-3705 | 2019-08-24 |
| 1881249902 | A Tender Hand Assisted Living Home, LLC, Dba | Assisted Living Facility | 6216 S 36th St, Phoenix, AZ 85042-4904 | 2019-08-06 |
| 1265098339 | Affinity of Hope Care Home | Assisted Living Facility | 7518 S 15th Dr, Phoenix, AZ 85041-6935 | 2019-05-14 |
| 1912561176 | Hope Behavioral Health Residential Care | Assisted Living Facility | 17547 W Desert Bloom St, Goodyear, AZ 85338-4713 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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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.