Acome Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ACOME HOME LLC

Practice address

4509 E Acoma Dr
Phoenix, AZ 85032-4855

Phone

(480) 266-2461

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Maftean

Title

Director

Phone

(480) 266-2461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1699394858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 E ACOMA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324855",
            "telephone_number": "480-266-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 E ACOMA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324855",
            "telephone_number": "480-266-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOME HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MAFTEAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-266-2461"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Skye Ackerman, MD
• Sonia S. Ackerman, M.ED., CCC-S
• Rebecca Acklin, RDH
• Jemeille Ackourey, LPC
• Acoma Behavioral Health LLC
• Michael Paul Acord, D.C.
• Acorn USA Inc (Sunwest Pharmacy)
• Acorn USA Inc (Sunwest LTC Pharmacy)
• Andrea Acosta
• Daisy Ruby Acosta

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.