Phoenix Comfort Homes LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PHOENIX COMFORT HOMES LLC

Practice address

17643 N 17TH St
Phoenix, AZ 85022-2113

Phone

(602) 358-7936

Fax

(602) 358-7936

NPI assigned

Apr 7, 2020

Organization subpart

No

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

Authorized official

Name

Hussein Ahmed Hassan, MSC

Title

Director

Phone

(612) 913-6133

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: alfiqi@gmai.com

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1811526148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17643 N 17TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222113",
            "telephone_number": "602-358-7936",
            "fax_number": "602-358-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17643 N 17TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222113",
            "telephone_number": "602-358-7936",
            "fax_number": "602-358-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COMFORT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-913-6133",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALFIQI@GMAI.COM",
            "affiliation": "N",
            "address_1": "17643 N 17th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850222113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.