Active NPI
Santiago Home
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1265036891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- SANTIAGO HOME
- Doing business as
- Healing Human Services LLC dba Santiago Home
- Practice address
- 1619 E Chanute Pass
Phoenix, AZ 85040-3340 - Phone
- (480) 232-8600
- Fax
- (480) 444-1452
- NPI assigned
- Nov 24, 2020
- Organization subpart
- Yes
- Parent organization
- HEALING HUMAN SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla Sol
- Title
- Ceo
- Phone
- (480) 232-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1619 E Chanute Pass
Phoenix, AZ 85040-3340
Mailing address
1619 E Chanute Pass
Phoenix, AZ 85040-3340
Phone (480) 232-8600
Other names 1
- Healing Human Services LLC dba Santiago Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2282056 | Healing Human Services LLC | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- Santiago Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1265036891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 E CHANUTE PASS",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850403340",
"telephone_number": "480-232-8600",
"fax_number": "480-444-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 E CHANUTE PASS",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850403340",
"telephone_number": "480-232-8600",
"fax_number": "480-444-1452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTIAGO HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALING HUMAN SERVICES LLC",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "SOL",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-232-8600"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healing Human Services LLC dba Santiago Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.