Active NPI
Cares of Zion Behavior Group Home
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CARES OF ZION BEHAVIOR GROUP HOME
- Practice address
- 3045 E Cholla St
Phoenix, AZ 85028-1917 - Phone
- (602) 601-4893
- NPI assigned
- Jun 8, 2021
- Last updated
- Jun 8, 2021
- Organization subpart
- Yes
- Parent organization
- ADORA HEALTHCARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter T Teboh, FNP-BC
- Title
- President/Ceo
- Phone
- (216) 544-5418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3045 E Cholla St
Phoenix, AZ 85028-1917
Mailing address
3045 E Cholla St
Phoenix, AZ 85028-1917
Phone (602) 601-4893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024418 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Adora Healthcare Services Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Nurse Practitioner
- Goodyear, AZ
- NPI 1093164584
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1083000327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1912574989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 E CHOLLA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281917",
"telephone_number": "602-601-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 E CHOLLA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281917",
"telephone_number": "602-601-4893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARES OF ZION BEHAVIOR GROUP HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADORA HEALTHCARE SERVICES",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "TEBOH",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "216-544-5418",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024418",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.