Active NPI
Streams in the Desert Ministries, Inc.
- Adult Care Home Facility
- Tempe, AZ
National Provider Identifier
1164624821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- ALH-1165
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556871 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryNPI 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.