Organization Active NPI

House of Hope Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1598025934
Registry record updated Jun 28, 2024
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
1149 E 11TH St
Casa Grande, AZ 85122-3609
Phone
(520) 709-1586
Fax
(602) 325-0405
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Anissa Diaz
Title
Administrator
Phone
(520) 709-1586

Specialties & licenses 1

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

Addresses

Primary practice location

1149 E 11TH St
Casa Grande, AZ 85122-3609

Mailing address

65 N Pottebaum Rd.
Casa Grande, AZ 85122-5326
Phone (602) 618-3756

Other identifiers 1

IdentifierTypeStateIssuer
BH4017OtherAZARIZONA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1598025934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N POTTEBAUM RD.",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225326",
            "telephone_number": "602-618-3756",
            "fax_number": "602-325-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 E 11TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223609",
            "telephone_number": "520-709-1586",
            "fax_number": "602-325-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-709-1586"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH",
            "identifier": "BH4017",
            "state": "AZ"
        }
    ],
    "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 Jun 28, 2024; 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.