Active NPI
Da Homes LLC
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1477105252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DA HOMES LLC
- Practice address
- 742 E Garnet Ave
Mesa, AZ 85204-5713 - Phone
- (623) 312-8111
- NPI assigned
- Jul 11, 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
- Ms. Dephannie Joung
- Title
- Owner/Administrator
- Phone
- (623) 312-8111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
742 E Garnet Ave
Mesa, AZ 85204-5713
Mailing address
742 E Garnet Ave
Mesa, AZ 85204-5713
Phone (623) 312-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH5804 | Other | AZ | STATE OF ARIZONA DEPARTMENT OF HEALTH |
National Provider Directory
National Provider Directory- Tax ID family
- Da Homes LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1306443197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1477105252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 E GARNET AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852045713",
"telephone_number": "623-312-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 E GARNET AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852045713",
"telephone_number": "623-312-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-11",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "JOUNG",
"authorized_official_first_name": "DEPHANNIE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "623-312-8111",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ARIZONA DEPARTMENT OF HEALTH",
"identifier": "BH5804",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.