A PATH OF RESILIENCE


Address: 6102 S 37th Ln, Phoenix, AZ 85041-5021
Phone: 6238537881

A PATH OF RESILIENCE (NPI# 1992254338) 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) 1992254338
Entity Type Organization
Organization Name A PATH OF RESILIENCE
Practice Address 6102 S 37th Ln
Phoenix
AZ 85041-5021
Mailing Address 3212 W Melody Dr
Laveen
AZ 85339-3826
Practice Telephone 6238537881
Mailing Telephone 6238537881
Enumeration Date 2016-09-27
Last Update Date 2019-03-01
Authorized Official Name MR. JEROME DAVIS (OWNER/ BHT)
Authorized Official Telephone 6238537881
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health BH4898 AZ Agencies

Office Location

Street Address 6102 S 37TH LN
City PHOENIX
State AZ
Zip Code 85041-5021

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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]

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NPI Name Taxonomy Address Enumeration
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1518564442 Infinity Groups Homes LLC Community/Behavioral Health 3523 E Everett Dr, Phoenix, AZ 85032-5136 2020-10-05
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Competitor

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City PHOENIX
Zip Code 85041

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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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