PR & a Group Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PR & A GROUP HOMES LLC

Practice address

17320 N Lago Dr
Maricopa, AZ 85138-1877

Phone

(978) 996-6074

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Paul Racho

Title

Ceo

Phone

(978) 996-6074

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1740951854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 N LAGO DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381877",
            "telephone_number": "978-996-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 N LAGO DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381877",
            "telephone_number": "978-996-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR & A GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "RACHO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-996-6074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH7015",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "server",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "address_1": "17320 N Lago Dr",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851381877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared Michael Pope, DDS
• Jordyn Victoria Pope, BCBA, MA, LBA
• Amanda Brittany Post
• Brittnee Powell
• Hosea Powon
• Premium Mental Health Services PLLC
• Alicia N Price, LPN
• Professional Caring Kings LLC
• Progressive Homecare Services
• Progressive Living 2, LLC

• 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 Sep 28, 2021; 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.