NEW BEGINNINGS GROUP HOME, INC. (NPI# 1639640915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639640915 |
Entity Type | Organization |
Organization Name | NEW BEGINNINGS GROUP HOME, INC. |
Practice Address |
3109 S 100th Dr Tolleson AZ 85353-8434 |
Practice Telephone | 6027339285 |
Mailing Telephone | 6027339285 |
Enumeration Date | 2018-12-11 |
Last Update Date | 2018-12-11 |
Authorized Official Name | KASSINDA KING BAYO (OWNER) |
Authorized Official Telephone | 6027339285 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | IRS | 5432 | 01 |
Street Address |
3109 S 100TH DR |
City | TOLLESON |
State | AZ |
Zip Code | 85353-8434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073081808 | Kassinda King Bayo | Psychologist | 3109 S 100th Dr, Tolleson, AZ 85353-8434 | 2018-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710503388 | Annie's Home, LLC | Home Health | 8517 W Chickasaw St., Tolleson, AZ 85353 | 2020-06-19 |
1427614429 | Destiny Behavioral Health Residential Care LLC 6 | Community Based Residential Treatment Facility, Mental Illness | 8755 W Pioneer Street, Tolleson, AZ 85353 | 2019-05-15 |
1831669258 | New Beginning Behavioral Health LLC | Psychiatric Residential Treatment Facility | 3329 S 87th Dr, Tolleson, AZ 85353 | 2018-11-28 |
1679049886 | Jaclyn Peters | Registered Nurse | 9401 West Garfield Street, Tolleson, AZ 85353 | 2018-10-16 |
1265949861 | Destiny Behavioral Health Residential Care LLC 5 | Community Based Residential Treatment Facility, Mental Illness | 10313 W Hess Street, Tolleson, AZ 85353 | 2018-01-04 |
1174858260 | Earl Dean Elwood | Pharmacist | 500 S. 99th Ave, Tolleson, AZ 85353 | 2009-10-07 |
1952533556 | Sun Valley Pharmacy LLC | Pharmacy | 219 W Pima, Gila Bend, AZ 85353 | 2009-08-14 |
1467570747 | Union Elementary School | Local Education Agency (LEA) | 3834 S 91st Ave, Tolleson, AZ 85353 | 2007-03-26 |
1285798462 | Promenade Dental Group, LLP | Dentist | 2755 S 99th Ave, Ste 105, Tolleson, AZ 85353 | 2006-12-21 |
1679636781 | Greta Denise Doss | Respite Care | 3006 S 102 Ln, Tolleson, AZ 85353 | 2006-12-19 |
Find all providers in zip 85353 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962022665 | New Hope of Arizona, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8710 W Watkins St, Tolleson, AZ 85353-9028 | 2020-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528666039 | Rehoboth LLC | Residential Treatment Facility, Emotionally Disturbed Children | 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 | 2020-10-16 |
1639798143 | Anthony Udoinwang | Residential Treatment Facility, Emotionally Disturbed Children | 10435 W Reade Ave, Glendale, AZ 85307-4237 | 2020-04-14 |
1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
1487118865 | Serenity Preferred LLC | Residential Treatment Facility, Emotionally Disturbed Children | 17829 W Columbine Dr, Surprise, AZ 85388-5628 | 2019-01-30 |
1407333958 | Copa's Caring Hands LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 42251 W Bravo Dr, Maricopa, AZ 85138-2295 | 2018-07-26 |
1538668983 | Starks Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7325 E Fayette St, Tucson, AZ 85730-2324 | 2018-02-12 |
1881100147 | Anna Marie Barrios | Residential Treatment Facility, Emotionally Disturbed Children | 18811 N 7th Dr, Phoenix, AZ 85027-5508 | 2017-12-22 |
1033625926 | Youth Transition Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 | 2017-12-14 |
1538681374 | Rey Ash Residential Facility LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3765 W Yellow Peak Dr, San Tan Valley, AZ 85142-3090 | 2017-07-13 |
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.