St Patrick Health Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ST PATRICK HEALTH CARE SERVICES

Practice address

1087 W Avalon Canyon Dr
Casa Grande, AZ 85122-6706

Phone

(202) 469-1352

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By 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

Patrick MbahNPI 1679843668

Title

Owner/Administrator

Phone

(202) 469-1352

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Bah Mbah

  • Case Manager/Care Coordinator
  • Washington, DC
  • NPI 1679843668
  Authorized official Same address or phone

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1710691548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 W AVALON CANYON DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226706",
            "telephone_number": "202-469-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 W AVALON CANYON DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226706",
            "telephone_number": "202-469-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PATRICK HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MBAH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "202-469-1352"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1087 W Avalon Canyon Dr",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851226706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southwestern Eye Center LTD (Southwestern Eye Center-Casa Grande Optical)
• Ryan Southworth, DO
• Janet Spencer
• Steven Ira Spiess, MD
• Katlyn Spivak
• Laura Anne Stager, FNP
• Sobeida M Stanford
• Stephanie Stanley, PH
• Starlight Pediatric Primary Care PLLC
• Starlight Pediatrics Urgent Care, PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.