Active NPI
Caleb Healthcare LLC
- Assisted Living Facility (Mental Illness)
- Phoenix, AZ
National Provider Identifier
1568156248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- CALEB HEALTHCARE LLC
- Doing business as
- ROYAL'S CARE HOME
- Practice address
- 2827 W Northview Ave
Phoenix, AZ 85051-7586 - Phone
- (623) 628-3252
- NPI assigned
- Jun 6, 2023
- 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
- Regina Mensah, RN, MSN, MPHN
- Title
- Administrator
- Phone
- (623) 628-3252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
2827 W Northview Ave
Phoenix, AZ 85051-7586
Mailing address
17148 W Buchanan St
Goodyear, AZ 85338-1285
Phone (623) 628-3252
Other names 1
- ROYAL'S CARE HOME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1568156248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17148 W BUCHANAN ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381285",
"telephone_number": "623-628-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 W NORTHVIEW AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850517586",
"telephone_number": "623-628-3252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALEB HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "MENSAH",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "623-628-3252",
"authorized_official_credential": "RN, MSN, MPHN"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROYAL'S CARE HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.