NPIMap

Organization Active NPI

Home of Purpose Empowerment

  • Mental Illness Community Based Residential Treatment Facility
  • Buckeye, AZ
National Provider Identifier
1205465788
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HOME OF PURPOSE EMPOWERMENT
Practice address
30938 W Mitchell Dr
Buckeye, AZ 85396-6813
Phone
(602) 935-1611
NPI assigned
Apr 6, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Prof. Elonda Wilson
Title
Chief Operations Officer
Phone
(602) 935-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

30938 W Mitchell Dr
Buckeye, AZ 85396-6813

Mailing address

11853 W Nadine Way
Peoria, AZ 85383-4522
Phone (860) 690-5309

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elonda@homeofpurpose.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Home of Purpose Empowerment LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1205465788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11853 W NADINE WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834522",
            "telephone_number": "860-690-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30938 W MITCHELL DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853966813",
            "telephone_number": "602-935-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF PURPOSE EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELONDA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "602-935-1611",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elonda@homeofpurpose.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30938 W Mitchell Dr",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853966813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.