Organization Active NPI

House of Hope Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1487108536
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HOUSE OF HOPE BEHAVIORAL HEALTH LLC
Practice address
65 N Pottebaum Rd
Casa Grande, AZ 85122-5326
Phone
(520) 421-1120
Fax
(520) 421-2877
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Authorized official

Name
Mrs. Folasayo Iyabode Oladokun
Title
Owner
Phone
(520) 431-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

65 N Pottebaum Rd
Casa Grande, AZ 85122-5326

Mailing address

115 E 1St St
Casa Grande, AZ 85122-5201
Phone (520) 421-1120

National Provider Directory

National Provider Directory
Tax ID family
House of Hope Behavioral Health LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1487108536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 1ST ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225201",
            "telephone_number": "520-421-1120",
            "fax_number": "520-421-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N POTTEBAUM RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225326",
            "telephone_number": "520-421-1120",
            "fax_number": "520-421-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "OLADOKUN",
        "authorized_official_first_name": "FOLASAYO",
        "authorized_official_middle_name": "IYABODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-431-7750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.