AGNES' CENTERS FOR DOMESTIC SOLUTIONS


Address: 455 S 48th Street, 106, Tempe, AZ 85281
Phone: 4806646554

AGNES' CENTERS FOR DOMESTIC SOLUTIONS (NPI# 1609376698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609376698
Entity Type Organization
Organization Name AGNES' CENTERS FOR DOMESTIC SOLUTIONS
Practice Address 455 S 48th Street
106
Tempe
AZ 85281
Practice Telephone 4806646554
Mailing Telephone 4806646554
Enumeration Date 2018-02-15
Last Update Date 2018-02-15
Authorized Official Name GRACE AGNES CROCKETT-SCOTT (DIRECTOR)
Authorized Official Telephone 4806646554
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities AGNES' CENTERS FOR DOMESTIC SOLUTIONS 455 S 48th St Ste 106, Tempe, AZ 85281-2302

Office Location

Street Address 455 S 48TH STREET
106
City TEMPE
State AZ
Zip Code 85281

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1053826636 Marta Solano Nurse Practitioner 415 S 48th St Ste 107, Tempe, AZ 85281 2017-12-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851907943 House of Hope Residential Homes LLC Community/Behavioral Health 1427 S College Ave, Tempe, AZ 85281-6616 2020-09-23
1740806108 Unique Family Services, LLC Community/Behavioral Health 2000 E Southern Ave Ste 102&104, Tempe, AZ 85282-7510 2020-06-22
1255965901 Earle & Earle, Pllc Community/Behavioral Health 1835 E 6th St Ste 21, Tempe, AZ 85281-2964 2020-03-02
1073147856 Sage Counseling, Inc. Community/Behavioral Health 4427 S Rural Rd Ste 5, Tempe, AZ 85282-7061 2020-03-02
1235776741 Rising Youth LLC Community/Behavioral Health 501 S 48th St Ste 110, Tempe, AZ 85281-2313 2019-12-03
1033772702 Ruby Breeden Community/Behavioral Health 4450 S Rural Rd Ste D, Tempe, AZ 85282-7017 2019-04-18
1831612803 Devoted Guardians Ddd LLC Community/Behavioral Health 1705 W Ruby Dr Ste 107, Tempe, AZ 85284-1060 2017-07-21
1164972485 Empact - Suicide Prevention Center Community/Behavioral Health 914 S 52nd St, Tempe, AZ 85281-9500 2016-10-11
1619322864 Buwalda Psychological Services Community/Behavioral Health 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 2016-04-25
1740673581 Renewed Hope and Recovery Community/Behavioral Health 2204 W Southern Ave, Tempe, AZ 85282-4346 2015-03-17
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Competitor

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City TEMPE
Zip Code 85281

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Dataset Information

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.

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