Joint Healing Operations Alpha House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JOINT HEALING OPERATIONS ALPHA HOUSE LLC

Doing business as

Mission Support Residences LLC

Practice address

42796 W Irene Rd
Maricopa, AZ 85138-5898

Phone

(602) 791-2316

NPI assigned

Jan 2, 2024

Last updated

Jan 4, 2024By 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

Robert Blanchard

Title

Owner

Phone

(602) 791-2316

Specialties & licenses 1

Addresses

Other names 1

• Mission Support Residences LLC Doing business as

Tax ID family

Joint Healing Operations Alpha House LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joint Healing Operations Alpha House LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Maricopa, AZ
  • NPI 1093306409
  NPD tax ID

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.

• Troy Friedman

  • Case Manager/Care Coordinator
  • Chandler, AZ
  • NPI 1902411184
  NPD

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1841060795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42796 W IRENE RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385898",
            "telephone_number": "602-791-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42796 W IRENE RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385898",
            "telephone_number": "602-791-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT HEALING OPERATIONS ALPHA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-791-2316"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Support Residences LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Support Residences LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudette Elizabeth Johnson
• Garrett Johnson, PT
• Laury Kay Johnson, R.N.
• Nichelle Rynette Johnson, LPN
• Joint Healing Operations Alpha House LLC
• Danielle Josephine Jones, LPN
• Dwyla Dean Jones
• Tyeasa Renae Jones, PMHNP-BC
• Olajumoke Omolola Jongbo, PMHNP
• Taylor L Jump, DPT

• Assisted Living Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.