Organization Active NPI

Streams in the Desert Ministries, Inc.

  • Adult Care Home Facility
  • Tempe, AZ
National Provider Identifier
1164624821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALH-1165 Issued in AZ
Legal business name
STREAMS IN THE DESERT MINISTRIES, INC.
Practice address
5612 S Heather Dr
Tempe, AZ 85283-2214
Phone
(480) 897-1907
Fax
(480) 897-1287
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Priscilla E Smith
Title
Manager
Phone
(480) 897-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X ALH-1165 AZ Primary

Addresses

Primary practice location

5612 S Heather Dr
Tempe, AZ 85283-2214

Mailing address

5612 S Heather Dr
Tempe, AZ 85283-2214
Phone (480) 897-1907

Other identifiers 1

IdentifierTypeStateIssuer
556871OtherAZAHCCCS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164624821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 S HEATHER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832214",
            "telephone_number": "480-897-1907",
            "fax_number": "480-897-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 S HEATHER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832214",
            "telephone_number": "480-897-1907",
            "fax_number": "480-897-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMS IN THE DESERT MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-897-1907"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH-1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "556871",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.