Aaa Health and Safety Lodge

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

AAA HEALTH AND SAFETY LODGE

Practice address

7227 Fossil Lake Dr
Arlington, TX 76002-4711

Phone

(817) 704-9973

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joe Bayemake Mahop, MAS

Title

Program Director

Phone

(817) 704-9973

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1013317106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 FOSSIL LAKE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024711",
            "telephone_number": "817-704-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 FOSSIL LAKE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024711",
            "telephone_number": "817-704-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA HEALTH AND SAFETY LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "MAHOP",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "BAYEMAKE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "817-704-9973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Arlington, TX
• Providers in Arlington, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.