ACOME HOME LLC


Address: 4509 E Acoma Dr, Phoenix, AZ 85032-4855
Phone: 4802662461

ACOME HOME LLC (NPI# 1699394858) 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) 1699394858
Entity Type Organization
Organization Name ACOME HOME LLC
Practice Address 4509 E Acoma Dr
Phoenix
AZ 85032-4855
Practice Telephone 4802662461
Mailing Telephone 4802662461
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Authorized Official Name KEVIN MAFTEAN (DIRECTOR)
Authorized Official Telephone 4802662461
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 4509 E ACOMA DR
City PHOENIX
State AZ
Zip Code 85032-4855

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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City PHOENIX
Zip Code 85032

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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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