CHAPL HAVEN WEST, INC. (NPI# 1770853921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770853921 |
| Entity Type | Organization |
| Organization Name | CHAPL HAVEN WEST, INC. |
| Practice Address |
1701 N Park Ave Tucson AZ 85719-3584 |
| Mailing Address |
1040 Whalley Ave New Haven CT 06515-1740 |
| Practice Telephone | 5206249378 |
| Mailing Telephone | 2033971714 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MR. MICHAEL STORZ (PRESIDENT) |
| Authorized Official Telephone | 2033971714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1701 N PARK AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043680481 | Ryan Shoemaker | Speech-Language Pathologist | 1701 N Park Ave, Tucson, AZ 85719-3584 | 2015-09-28 |
| 1558632596 | Stephen Pinney Thomas | Speech-Language Pathologist | 1701 N Park Ave, Tucson, AZ 85719-3584 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447812755 | Altera Vita LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7632 E Fair Meadows Loop, Tucson, AZ 85756-6151 | 2019-07-08 |
| 1447615042 | Cobros IIi, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7336 E 28th Pl, Tucson, AZ 85710-5559 | 2015-12-23 |
| 1417269176 | Tina Tony Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5907 E Sanderling Dr, Tucson, AZ 85756-8630 | 2010-07-10 |
| 1629305495 | Azi House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6914 S Bittercress Rd, Tucson, AZ 85756 | 2009-11-15 |
| 1538309760 | Rescued Helpers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1031 East 28th Street, Tucson, AZ 85713-3221 | 2009-02-27 |
| 1104900356 | Zarephath, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5230 S. Missiondale Rd., Tucson, AZ 85706 | 2006-10-24 |
| 1811079676 | Zarephath, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2194 W Painted Sunset Cir, Tucson, AZ 85745-7032 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
| 1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
| 1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
| 1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
| 1023626090 | 1 Family Clinic LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 315 W Elliot Rd Ste 107, Tempe, AZ 85284-1328 | 2020-07-16 |
| 1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
| 1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
| 1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
| 1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
| 1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
| 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.