NPIMap

Organization Active NPI

Deveruex

Doing business as Adult Foster Care Provider

  • Mental Illness Community Based Residential Treatment Facility
  • Buckeye, AZ
National Provider Identifier
1245682673
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEVERUEX
Doing business as
Adult Foster Care Provider
Practice address
22958 W Gardenia Dr
Buckeye, AZ 85326-6230
Phone
(480) 438-5338
NPI assigned
Jul 9, 2016
Last updated
Jul 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2016

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

Authorized official

Name
Nicole Michelle ChambersNPI 1033425368
Title
Adult Foster Care
Phone
(480) 438-5338

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

Addresses

Primary practice location

22958 W Gardenia Dr
Buckeye, AZ 85326-6230

Mailing address

22958 W Gardenia Dr
Buckeye, AZ 85326-6230
Phone (480) 438-5338

Other identifiers 1

IdentifierTypeStateIssuer
1033425368OtherAZACCCHS

Other names 1

  • Adult Foster Care Provider Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comm SVCS of Devereux332 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

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": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468022400000",
    "number": "1245682673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22958 W GARDENIA DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266230",
            "telephone_number": "480-438-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22958 W GARDENIA DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266230",
            "telephone_number": "480-438-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVERUEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADULT FOSTER CARE",
        "authorized_official_telephone_number": "480-438-5338"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCCHS",
            "identifier": "1033425368",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Foster Care Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 9, 2016; 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.