Active NPI
Hope & Haven Family Services LLC
- Community/Behavioral Health Agency
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOPE & HAVEN FAMILY SERVICES LLC
- Practice address
- 3015 N Scottsdale Rd Unit 4222
Scottsdale, AZ 85251-7262 - Phone
- (773) 661-8193
- Fax
- (999) 999-9999
- NPI assigned
- Nov 6, 2020
- 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
- Lashonia Shasherah Pennix, OWNER
- Title
- Owner
- Phone
- (773) 661-8193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3015 N Scottsdale Rd Unit 4222
Scottsdale, AZ 85251-7262
Mailing address
644 N Country Club Dr Ste C
Mesa, AZ 85201-4983
Phone (773) 661-8193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Bonds of Hope LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1841860855
Locations
644 N Country Club Dr
Ste C
Mesa, AZ 85201
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1508436510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1215538111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 N COUNTRY CLUB DR STE C",
"city": "MESA",
"state": "AZ",
"postal_code": "852014983",
"telephone_number": "773-661-8193",
"fax_number": "999-999-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N SCOTTSDALE RD UNIT 4222",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517262",
"telephone_number": "773-661-8193",
"fax_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE & HAVEN FAMILY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-06",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "PENNIX",
"authorized_official_first_name": "LASHONIA",
"authorized_official_middle_name": "SHASHERAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-661-8193",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000000",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.