NPIMap

Organization Active NPI

House of Hope Eloy

  • Mental Illness Community Based Residential Treatment Facility
  • Eloy, AZ
National Provider Identifier
1629436647
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 ELOY
Practice address
406 W 11TH St
Eloy, AZ 85131-1810
Phone
(520) 421-1157
Fax
(520) 421-2877
NPI assigned
Feb 4, 2016
Last updated
Jul 3, 2021By the provider in NPPES
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-Dybowski
Title
Administrator
Phone
(520) 421-1157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4846 AZ
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

406 W 11TH St
Eloy, AZ 85131-1810

Mailing address

115 E 1St St
Casa Grande, AZ 85122-5201
Phone (520) 421-1157

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.

Locations

1106 N Pinal Ave
Casa Grande, AZ 85122
Phone (520) 421-1120

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1629436647",
    "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": "520-421-1157",
            "fax_number": "520-421-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 11TH ST",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "851311810",
            "telephone_number": "520-421-1157",
            "fax_number": "520-421-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE ELOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "OLADOKUN-DYBOWSKI",
        "authorized_official_first_name": "FOLASAYO",
        "authorized_official_middle_name": "IYABODE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-421-1157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4846",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eloy, 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.