JEZZOB BEHAVIORAL HEALTH LLC


Address: 4918 W Apollo Rd, Laveen, AZ 85339-6289
Phone: 6025212351

JEZZOB BEHAVIORAL HEALTH LLC (NPI# 1730701517) 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) 1730701517
Entity Type Organization
Organization Name JEZZOB BEHAVIORAL HEALTH LLC
Practice Address 4918 W Apollo Rd
Laveen
AZ 85339-6289
Practice Telephone 6025212351
Practice Fax Number 4807188860
Mailing Telephone 6025212351
Mailing Fax Number 4807188860
Enumeration Date 2020-05-14
Last Update Date 2020-05-19
Authorized Official Name MR. ZEBEDEE T YONG (FACILITY OPERATIONS DIRECTOR)
Authorized Official Telephone 6025212351
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Office Location

Street Address 4918 W APOLLO RD
City LAVEEN
State AZ
Zip Code 85339-6289

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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
1568850329 Gila River Health Care Corporation Community Based Residential Treatment Facility, Mental Illness 142226 S 53rd Ave, Laveen, AZ 85339 2015-01-02
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851926661 Cadens Health and Wellness LLC Psychiatric Residential Treatment Facility 5244 W Apollo Rd, Laveen, AZ 85339-6912 2020-03-12
1659911576 Pastalino Manor LLC 5 Psychiatric Residential Treatment Facility 8815 S 57th Ln, Laveen, AZ 85339-5291 2020-01-08
1801446695 Cadens Health and Wellness LLC Psychiatric Residential Treatment Facility 5135 W St Kateri Dr, Laveen, AZ 85339-6929 2019-09-13
1073032678 Cadens Health and Wellness LLC Psychiatric Residential Treatment Facility 4114 W Desert Ln, Laveen, AZ 85339-2530 2017-09-14
1649796939 Benchmark Valley LLC Psychiatric Residential Treatment Facility 5818 W Pedro Ln, Laveen, AZ 85339-5243 2017-08-17
1952856197 Symponia LLC Psychiatric Residential Treatment Facility 4551 W Beautiful Ln, Laveen, AZ 85339-7318 2016-08-17
1184087223 Emmarie Behavioral Home Care. LLC Psychiatric Residential Treatment Facility 5748 W Hidalgo Ave, Laveen, AZ 85339-5157 2016-04-04
1700269727 Benchmark Valley LLC Psychiatric Residential Treatment Facility 5625 W Euclid Ave, Laveen, AZ 85339-5247 2015-07-08

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NPI Name Taxonomy Address Enumeration
1366040123 Choice Business Strategies LLC Psychiatric Residential Treatment Facility 29400 N 123rd Gln, Peoria, AZ 85383-4096 2020-10-14
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1356969828 Live Well Assisted Living LLC Psychiatric Residential Treatment Facility 9210 W Loow Bend Lane, Phoenix, AZ 85037 2020-07-10
1073138673 Hightower Behavioral Health Services Psychiatric Residential Treatment Facility 13206 W Crestvale Dr, Peoria, AZ 85383-5496 2020-06-10
1437773942 Excellent Care LLC Psychiatric Residential Treatment Facility 14029 N 39th Ave, Phoenix, AZ 85053-5438 2020-06-01
1235750977 Sagamar Behavioral Care Home, LLC Psychiatric Residential Treatment Facility 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 2020-05-05
1508492703 Rehoboth LLC Psychiatric Residential Treatment Facility 41947 W Rosa Dr, Maricopa, AZ 85138-2550 2020-03-19
1114552122 Angel Heart Behavioral Health IIi LLC Psychiatric Residential Treatment Facility 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 2020-03-10
1376178707 Angel Heart Behavioral Health II LLC Psychiatric Residential Treatment Facility 9223 W Meadowbrook Ave, Phoenix, AZ 85037-2442 2020-03-05
1942848627 Live Well Assisted Living Psychiatric Residential Treatment Facility 4544 N 91st Dr, Phoenix, AZ 85037-2449 2019-12-13
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City LAVEEN
Zip Code 85339

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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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