NPIMap

Organization Active NPI

Desert Mission Inc

Doing business as Marley House

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1093957748
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-3366 Issued in AZ
Legal business name
DESERT MISSION INC
Doing business as
Marley House
Practice address
9201 N 5TH St
Phoenix, AZ 85020-2532
Phone
(602) 331-5817
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Ms. Cindy Hallman
Title
Vice President
Phone
(602) 870-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-3366 AZ Primary

Addresses

Primary practice location

9201 N 5TH St
Phoenix, AZ 85020-2532

Mailing address

9201 N 5TH St
Phoenix, AZ 85020-2532
Phone (602) 331-5817

Other names 1

  • Marley House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adult Day Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1093957748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 N 5TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202532",
            "telephone_number": "602-331-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 N 5TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202532",
            "telephone_number": "602-331-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MISSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-870-6060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marley House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.