Jna Homes of Hope LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JNA HOMES OF HOPE LLC

Practice address

1531 W Maldonado Rd
Phoenix, AZ 85041-6642

Phone

(682) 294-9632

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Angelica Tibeca Matthews

Title

Manager

Phone

(682) 294-9632

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1669186185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416642",
            "telephone_number": "682-294-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416642",
            "telephone_number": "682-294-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNA HOMES OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "TIBECA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "682-294-9632"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.JNAHOMESOFHOPELLC.COM",
            "affiliation": "N",
            "endpointDescription": "WWW.JNAHOMESOFHOPELLC.COM",
            "address_1": "1531 W Maldonado Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850416642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.