NPIMap

Organization Active NPI

House of Hope Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1396195939
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HOUSE OF HOPE BEHAVIORAL HEALTH LLC
Practice address
1297 E Avenida Kino.
Casa Grande, AZ 85122-1011
Phone
(520) 709-1586
Fax
(602) 325-0405
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Anissa Diaz
Title
Administrator
Phone
(520) 709-1586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1297 E Avenida Kino.
Casa Grande, AZ 85122-1011

Mailing address

65 N Pottebaum Rd.
Casa Grande, AZ 85122-5326
Phone (602) 618-3756

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ohhc.cg.fax@oasishomehealthcare.org Direct
CONNECT URL ohhc.cg.fax@oasishomehealthcare.org Direct

National Provider Directory

National Provider Directory
Tax ID family
House of Hope Behavioral Health LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1396195939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N POTTEBAUM RD.",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225326",
            "telephone_number": "602-618-3756",
            "fax_number": "602-325-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 E AVENIDA KINO.",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221011",
            "telephone_number": "520-709-1586",
            "fax_number": "602-325-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-06-28",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-709-1586"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ohhc.cg.fax@oasishomehealthcare.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "556 W Mirage Loop",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851226133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ohhc.cg.fax@oasishomehealthcare.org",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "1297 E Avenida Kino",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851221011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.