GILA RIVER HEALTH CARE CORPORATION (NPI# 1568850329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568850329 |
| Entity Type | Organization |
| Organization Name | GILA RIVER HEALTH CARE CORPORATION |
| Other Organization Name | GILA RIVER HEALTH CARE SMI GROUP HOME |
| Practice Address |
142226 S 53rd Ave Laveen AZ 85339 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 6025281200 |
| Mailing Telephone | 6025281200 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | MR. STEVE H WILLIS (INTERIM DIRECTOR) |
| Authorized Official Telephone | 6025281200 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | GILA RIVER HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Gila River Health Care SMI Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144359852 | Gila River Health Care Corporation | Pharmacy | 17487 S Healthcare Dr, Laveen, AZ 85339-8500 | 2007-03-06 |
| 1891776902 | Gila River Health Care Corporation | Clinic/Center | 565 W. Seed Farm Rd, Sacaton, AZ 85247 | 2005-11-07 |
| 1386633915 | Gila River Health Care Corporation | General Acute Care Hospital | 48203 W. Farrell Rd., Maricopa, AZ 85139-0038 | 2005-10-17 |
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| 1629579230 | Gila River Health Care Corporation | Case Management | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2018-02-28 |
| 1821599424 | Gila River Health Care Corporation | Community/Behavioral Health | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2018-02-28 |
| 1437664182 | Gila River Health Care Corporation | General Acute Care Hospital | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-12-04 |
| 1114430147 | Gila River Health Care Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-11-13 |
| 1902189905 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2011-09-26 |
| 1851600191 | Gila River Health Care Corporation | Community/Behavioral Health | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2010-10-05 |
| Street Address |
142226 S 53RD AVE |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1326442393 | Consuelo Hidalgo | Counselor | 3611 W. Cheyenne Drive, Laveen, AZ 85339 | 2014-10-20 |
| Find all providers in zip 85339 | ||||
| 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 |
|---|---|---|---|---|
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1619590478 | Mary Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 8025 S 47th Ln, Laveen, AZ 85339-2393 | 2020-05-27 |
| 1356964753 | Mary Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 8021 S 47th Ln # 169, Laveen, AZ 85339-2393 | 2020-05-20 |
| 1629699152 | A Sunny Day Adult Living Home | Community Based Residential Treatment Facility, Mental Illness | 4319 W Park St, Laveen, AZ 85339-2203 | 2020-05-06 |
| 1578184743 | Ready4life Behavioral Health & Counseling LLC | Community Based Residential Treatment Facility, Mental Illness | 5136 W St Kateri Dr, Laveen, AZ 85339-6928 | 2020-04-29 |
| 1841826260 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 7008 W Carter Rd, Laveen, AZ 85339-7055 | 2020-03-17 |
| 1952940330 | Ready4life Behavioral Health & Counseling LLC | Community Based Residential Treatment Facility, Mental Illness | 5621 W Winston Dr, Laveen, AZ 85339-5259 | 2020-01-02 |
| 1952867335 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5325 W Novak Way, Laveen, AZ 85339-2996 | 2019-02-11 |
| 1043776420 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5329 W Novak Way, Laveen, AZ 85339-2996 | 2019-02-11 |
| 1083119796 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5427 W Novak Way, Laveen, AZ 85339-2998 | 2018-03-26 |
| Find all providers in LAVEEN | ||||
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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.