Caleb Healthcare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CALEB HEALTHCARE LLC

Practice address

15453 W Madison St
Goodyear, AZ 85338-3397

Phone

(623) 628-3252

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Regina Mensah

Title

Registeredv Nurse

Phone

(623) 628-3252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1700668787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15453 W MADISON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383397",
            "telephone_number": "623-628-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15453 W MADISON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383397",
            "telephone_number": "623-628-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "REGISTEREDV NURSE",
        "authorized_official_telephone_number": "623-628-3252"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.