Organization Active NPI

Santiago Home

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1265036891
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2282056Healing Human Services LLC1619 E Chanute Pass, Phoenix, AZ 85040Certificate of waiverMay 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.

Verify at the official NPI Registry.