SOUTHWEST NETWORK (NPI# 1538497912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538497912 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST NETWORK |
| Practice Address |
460 N Mesa Dr Suite 201 Mesa AZ 85201-5973 |
| Mailing Address |
2700 N Central Ave Suite 1050 Phoenix AZ 85004-1133 |
| Practice Telephone | 4808385550 |
| Practice Fax Number | 4807568201 |
| Mailing Telephone | 6022668402 |
| Mailing Fax Number | 6022640887 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | MS. AMY B. HENNING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6022854340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OTC6259 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | OTC6259 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | Z127516 | 01 |
| AZ | 515610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487981338 | Southwest Network | Case Management | 1465 W Chandler Blvd, Bldg A, Chandler, AZ 85224-6237 | 2009-11-13 |
| 1124275953 | Southwest Network | Case Management | 9051 W Kelton Ln, Suite 13, Peoria, AZ 85382-3533 | 2008-08-22 |
| 1235393240 | Southwest Network | Case Management | 3140 N Arizona Ave, Suite 113, Chandler, AZ 85225-7165 | 2008-07-18 |
| 1104856004 | Southwest Network | Case Management | 2444 E University Dr, Suite 150, Phoenix, AZ 85034-6911 | 2006-07-04 |
| 1063653921 | Southwest Network | Case Management | 2311 W Royal Palm Rd, Phoenix, AZ 85021-4916 | 2009-03-23 |
| 1952542078 | Southwest Network | Case Management | 3227 E Bell Rd, Suite 170, Phoenix, AZ 85032-2700 | 2009-03-19 |
| 1306097886 | Southwest Network | Case Management | 3640 W Osborn Rd, Suite 1, Phoenix, AZ 85019-4006 | 2008-10-02 |
| 1538310024 | Southwest Network | Case Management | 4707 N 12th St, Phoenix, AZ 85014-4009 | 2008-10-02 |
| 1912164039 | Southwest Network | Case Management | 1840 N 95th Ave Ste 132, Phoenix, AZ 85037-4445 | 2008-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST NETWORK | 2700 N Central Ave Ste 1050, Phoenix, AZ 85004-1217 |
| Street Address |
460 N MESA DR SUITE 201 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093937021 | Encourage Empowerment | Counselor | 460 N Mesa Dr, Suite 207, Mesa, AZ 85201-5973 | 2007-05-02 |
| 1578025250 | Genoa Healthcare, LLC | Pharmacy | 460 N Mesa Dr, Unit 201, Suite 201p, Mesa, AZ 85201-5957 | 2019-04-02 |
| 1144790031 | Tharp Enterprises, L.L.C. | Counselor | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-12-04 |
| 1548741812 | Ana Williams | Nurse Practitioner | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-08-24 |
| 1124518204 | Community Bridges, Inc. | Clinic/Center | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-05-15 |
| 1437691292 | Brandon Healy | Nurse Practitioner | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2016-11-10 |
| 1073938684 | Empact Suicide Prevention Center | Community/Behavioral Health | 460 N Mesa Dr, Suite 115, Mesa, AZ 85201-5973 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1073120390 | Harmony Behavioral Home LLC | Community/Behavioral Health | 5437 E Harmony Ave, Mesa, AZ 85206-6750 | 2020-09-30 |
| 1992311716 | Life Force Community Services | Community/Behavioral Health | 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 | 2020-09-17 |
| 1326650417 | Fresh Start Rescource Center LLC | Community/Behavioral Health | 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 | 2020-08-19 |
| 1679182745 | A Nod To Veterans LLC | Community/Behavioral Health | 2436 S Lennox, Mesa, AZ 85209-6663 | 2020-07-24 |
| 1205452117 | Md Life Strategies, Inc | Community/Behavioral Health | 7435 E Main St, Mesa, AZ 85207-8337 | 2020-06-17 |
| 1346864147 | Rising Youth LLC | Community/Behavioral Health | 5948 E Fountain Cir, Mesa, AZ 85205-5513 | 2020-06-08 |
| 1225659121 | Amazing Hope LLC | Community/Behavioral Health | 7103 E Onza Ave, Mesa, AZ 85212-9811 | 2020-05-01 |
| 1912535337 | Harmony Family Services II | Community/Behavioral Health | 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 | 2020-03-31 |
| 1528692118 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 | 2020-02-24 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on SOUTHWEST NETWORK.
| 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.