Joan D Arc Behavioral Home

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

JOAN D ARC BEHAVIORAL HOME

Practice address

149 E Joan D Arc Ave
Phoenix, AZ 85022-4704

Phone

(602) 296-5065

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Cressett Mundell

Title

Owner

Phone

(602) 930-1814

Specialties & licenses 1

Addresses

Other names 1

• Joan D ARc Behavioral Home LLC Doing business as

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1477246544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17628 W PERSHING ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885022",
            "telephone_number": "602-930-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E JOAN D ARC AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224704",
            "telephone_number": "602-296-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN D ARC BEHAVIORAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "MUNDELL",
        "authorized_official_first_name": "CRESSETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-930-1814"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan D ARc Behavioral Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.