Strong House of Healing

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

STRONG HOUSE OF HEALING

Practice address

40800 W Rio Grande Dr
Maricopa, AZ 85138-1805

Phone

(520) 213-8336

NPI assigned

Feb 1, 2020

Organization subpart

Yes

Parent organization

AGNES' CENTERS FOR DOMESTIC SOLUTIONSAs reported in NPPES

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

Authorized official

Name

Mercedes Booker

Title

Ceo

Phone

(602) 832-9500

Specialties & licenses 6

Addresses

Other names 1

• Agnes Centers For Domestic Solutions Doing business as

Part of

Agnes' Centers for Domestic Solutions

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Agnes' Centers for Domestic Solutions

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1609376698
  NPPES parent name

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1710518337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40800 W RIO GRANDE DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40800 W RIO GRANDE DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381805",
            "telephone_number": "520-213-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG HOUSE OF HEALING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGNES' CENTERS FOR DOMESTIC SOLUTIONS",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-832-9500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agnes Centers For Domestic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Maricopa, AZ
• Providers in Maricopa, 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 Feb 1, 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.