South Phoenix Veterans Group Home

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTH PHOENIX VETERANS GROUP HOME

Practice address

204 W Paseo Way
Phoenix, AZ 85041-8838

Phone

(602) 359-1643

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Ann Dawson

Title

Program Director

Phone

(602) 359-1643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1518199819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W PASEO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850418838",
            "telephone_number": "602-359-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W PASEO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850418838",
            "telephone_number": "602-359-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHOENIX VETERANS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-359-1643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mountain Physical Therapy LLC
• South Mountain Rehabilitation P.C.
• South Mountain Surgery Center, LLC
• South Phoenix Integrity House LLC
• South Phoenix Prep and Arts Academy
• South Town Dental Care, Inc. (Garden Lakes Family Dentistry)
• South Valley Prep and Arts School
• South West Rheumatology PC
• Jenasee Loretta South
• James Brian Southard, ATC

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.