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A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC NPI 1497372908


NPI Information

NPI: 1497372908
Provider Name: A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2258 W WAYLAND RD
PHOENIX, AZ
ZIP 85041
Phone: (602) 281-0704
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A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC NPI is 1497372908. The provider is registered as an organization entity type.

The provider's business location address is:

2258 W WAYLAND RD
PHOENIX, AZ
ZIP 85041-753
Phone: (602) 281-0704

The provider's authorized official is Laroie Davis .
The authorized official title is Owner and has the following contact phone number (602) 281-0704.

The enumeration date for this NPI number is 6/30/2020 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
3332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyNo
4343900000XNon-emergency Medical Transport (VAN)No
5174200000XMealsNo
6253Z00000XIn Home Supportive CareNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
8101Y00000XCounselorNo
9104100000XSocial WorkerNo
10106S00000XBehavior TechnicianNo
11251S00000XCommunity/Behavioral HealthYes
12251B00000XCase ManagementNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1194917MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.