Organization Active NPI

Elmwood Group Homes

  • Psychiatric Residential Treatment Facility
  • Mesa, AZ
National Provider Identifier
1942473038
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ELMWOOD GROUP HOMES
Practice address
2355 E Elmwood St
Mesa, AZ 85213-5909
Phone
(480) 917-9301
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Michael Puttoff
Title
Ceo
Phone
(480) 917-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X AZ Primary

Addresses

Primary practice location

2355 E Elmwood St
Mesa, AZ 85213-5909

Mailing address

2190 N Grace Blvd
Chandler, AZ 85225-3416
Phone (480) 917-9301

National Provider Directory

National Provider Directory
Tax ID family
Developmental BH Consult2 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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1942473038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 N GRACE BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253416",
            "telephone_number": "480-917-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E ELMWOOD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135909",
            "telephone_number": "480-917-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "PUTTOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-917-9301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.