R2S Care

Primary specialty

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

Legal business name

R2S CARE

Doing business as

Kevin Nimoh

Practice address

3707 E Southern Ave FL 1-2
Mesa, AZ 85206-2569

Phone

(480) 652-1473

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Nimoh

Title

Ceo

Phone

(480) 652-1473

Specialties & licenses 1

Addresses

Other names 1

• Kevin Nimoh Doing business as

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1760187082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE FL 1-2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE FL 1-2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "480-652-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R2S CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "NIMOH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-652-1473"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin Nimoh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kevin Nimoh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willie Quon, M.D.
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• Aaron Samuel Rabinowitz, MD
• Addison Marie Rackham, RBT
• Candace Grace Raczkowski, PT
• Aaron Radecki
• Krysta Danielle Rader, LMSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, 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 Jun 7, 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.