Organization Active NPI

Abel'S House Inc.

  • Lodging Provider
  • Phoenix, AZ
National Provider Identifier
1417413949
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
ABEL'S HOUSE INC.
Practice address
1127 W Peoria Ave
Phoenix, AZ 85029-5984
Phone
(602) 441-0956
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Monica J Medrano
Title
Executive Director
Phone
(602) 441-0956

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary
Case Management Agency 251B00000X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

1127 W Peoria Ave
Phoenix, AZ 85029-5984

Mailing address

1930 W Washington St
Phoenix, AZ 85009-5209
Phone (602) 441-0956

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1417413949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W WASHINGTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850095209",
            "telephone_number": "602-441-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W PEORIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295984",
            "telephone_number": "602-441-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEL'S HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-441-0956"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2019; 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.