Jadem Ark of Hope, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

JADEM ARK OF HOPE, LLC

Doing business as

JADEM Care Network

Practice address

1214 E Fairmont Dr
Tempe, AZ 85282-3938

Phone

(480) 284-5590

NPI assigned

May 19, 2023

Last updated

May 19, 2023By 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

Mercy Nkengawung Nkeze, PHARMD

Title

Chief Organization

Phone

(206) 334-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JADEM Care Network Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mercy Nkengawung Fomeche, PHARM.D

  • Pharmacist
  • Lakewood, WA
  • NPI 1538491485
  NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1184315012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 W ODEUM LN",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534194",
            "telephone_number": "206-334-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E FAIRMONT DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823938",
            "telephone_number": "480-284-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8582 W Grovers Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828067",
            "country_code": "US",
            "telephone_number": "623-231-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JADEM ARK OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "NKEZE",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "NKENGAWUNG",
        "authorized_official_title_or_position": "CHIEF ORGANIZATION",
        "authorized_official_telephone_number": "206-334-3511",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JADEM Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zipporah Hezekiah Jackson
• Carly Jacobs, MT-BC
• Daniel Aaron Jacobs, M.D.
• Jasmyn Jache Jacobs, RBT
• Theresa A Jacobsen, NP
• Emmanuel Jagdon
• Fatou Jagne
• David J Jagoda, M.D.
• Vanya Jaitly, MD
• Joseph Jalaf, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.