Sapphire Group Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SAPPHIRE GROUP HOME LLC

Practice address

5227 W Alta Mesa Ave
Laveen, AZ 85339-5418

Phone

(702) 945-8268

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Josephine Musyoki

Title

Ceo

Phone

(702) 945-8268

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1407528631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 W ALTA MESA AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395418",
            "telephone_number": "702-945-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 W ALTA MESA AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395418",
            "telephone_number": "702-945-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MUSYOKI",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-945-8268"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH7044",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "server",
            "address_1": "5227 W Alta Mesa Ave",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853395418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samfest Behavioral Homecare LLC
• Gregory Austin Sanders, LAC
• Stavonne Sanders
• Isin Santos, PMHNP
• Sapphire Behavioral Homes, LLC
• Adam Schaefer, DMD
• Arthur Schmitt Jr., R.PH.
• SCL College of Nursing
• SCL College of Nursing
• SCL College of Nursing

• Mental Illness Community Based Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.