Active NPI
Hope and Peace LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1649919168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HOPE AND PEACE LLC
- Practice address
- 3909 S 57TH Dr
Phoenix, AZ 85043-6431 - Phone
- (520) 906-0283
- NPI assigned
- Jun 2, 2022
- Last updated
- Jun 2, 2022
- 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
- Brenda Chantal
- Title
- Admin
- Phone
- (520) 906-0283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
3909 S 57TH Dr
Phoenix, AZ 85043-6431
Mailing address
3909 S 57TH Dr
Phoenix, AZ 85043-6431
Phone (520) 906-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH7615 | Other | AZDHS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ELECTRONICRECORDS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1649919168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 S 57TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850436431",
"telephone_number": "520-906-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 S 57TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850436431",
"telephone_number": "520-906-0283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE AND PEACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "CHANTAL",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "520-906-0283"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZDHS",
"identifier": "BH7615",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ELECTRONICRECORDS",
"affiliation": "N",
"address_1": "3909 S 57th Dr",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850436431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.