Active NPI
Abel'S House Inc.
- Lodging Provider
- Phoenix, AZ
National Provider Identifier
1417413949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.