THE HOUSE OF CHANGE (NPI# 1598930216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598930216 |
| Entity Type | Organization |
| Organization Name | THE HOUSE OF CHANGE |
| Practice Address |
41335 N Arbor Ave Queen Creek AZ 85240-6120 |
| Practice Telephone | 4805606460 |
| Mailing Telephone | 4805606460 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MARIA ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 4805606460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH3020 | AZ | Residential Treatment Facilities |
| Street Address |
41335 N ARBOR AVE |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85240-6120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
| 1912152315 | Rebecca Wynn Sheridan | Registered Nurse | 301 E. Combs Rd, Queen Creek, AZ 85240 | 2008-11-26 |
| 1255598751 | Ironwood Dental Care PC | Dentist | 35 West Combs Rd, Suite 102, Queen Creek, AZ 85240 | 2008-05-21 |
| 1700086964 | Brandon Rosenberg | Occupational Therapist | 1301 E Debbie Dr, Queen Creek, AZ 85240-4003 | 2007-07-24 |
| 1073748463 | Noel I Vandyke | Respite Care | 3542 E Amarillo Way, Queen Creek, AZ 85240-4320 | 2009-05-28 |
| 1437337409 | Danielle Suzanne Stuhlmiller | Psychologist | 475 E Chelsea Dr, Queen Creek, AZ 85240-5271 | 2008-02-01 |
| 1174774608 | Yajcinllc | Residential Treatment Facility, Emotionally Disturbed Children | 1609 E Heather Dr, Queen Creek, AZ 85240-5682 | 2008-10-02 |
| 1386891877 | Julie Ann Thacker | Occupational Therapist | 1196 E Altadonna St, Queen Creek, AZ 85240-7846 | 2008-08-26 |
| 1134301492 | Brendan Darell Cluff | Occupational Therapist | 2018 E Paso Fino Dr, Queen Creek, AZ 85240-7875 | 2007-11-28 |
| 1033380316 | Ocotillo Trails Family Dentistry | Dentist | 40975 N Ironwood Rd, #a102, Queen Creek, AZ 85240-8906 | 2008-03-14 |
| Find all providers in zip 85240 | ||||
| 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 |
|---|---|---|---|---|
| 1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
| 1457998551 | New Destiny Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1072 E Dragon Fly Rd, Queen Creek, AZ 85143-5335 | 2019-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| 1588281604 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1402 E Hoover Ave, Phoenix, AZ 85006-1737 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85240 |
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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.