Active NPI
A Path of Resilience - Aprbhs - Rose House - LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1497372908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC
- Practice address
- 2258 W Wayland Rd
Phoenix, AZ 85041-3753 - Phone
- (602) 281-0704
- NPI assigned
- Jun 30, 2020
- Last updated
- Nov 27, 2023
- Organization subpart
- Yes
- Parent organization
- A PATH OF RESILIENCE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laroie Davis
- Title
- Owner
- Phone
- (602) 281-0704
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | |||
| Meals Provider | 174200000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2258 W Wayland Rd
Phoenix, AZ 85041-3753
Mailing address
2258 W Wayland Rd
Phoenix, AZ 85041-3753
Phone (602) 281-0704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194917 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WinZip | A Path of Resilience |
National Provider Directory
National Provider Directory- Part of
- A Path of Resilience
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1497372908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 W WAYLAND RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413753",
"telephone_number": "602-281-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 W WAYLAND RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413753",
"telephone_number": "602-281-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PATH OF RESILIENCE - APRBHS - ROSE HOUSE - LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "A PATH OF RESILIENCE, LLC",
"enumeration_date": "2020-06-30",
"last_updated": "2023-11-27",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LAROIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-281-0704"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194917",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WinZip",
"affiliation": "Y",
"affiliationName": "A Path of Resilience",
"address_1": "2258 W Wayland Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850413753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.