Sacred Heart Homes, Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SACRED HEART HOMES, INC

Practice address

3418 E Indian School Rd
Phoenix, AZ 85018-5113

Phone

(602) 277-8721

Fax

(602) 224-1357

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea G. Datingaling, BSN-RN

Title

Ceo

Phone

(602) 824-9125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1982212858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185113",
            "telephone_number": "602-277-8721",
            "fax_number": "602-224-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185113",
            "telephone_number": "602-277-8721",
            "fax_number": "602-224-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "DATINGALING",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-824-9125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN-RN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sacks, M.D.
• Rivi Rose Sacks
• Kimberly E Sacra, LPC
• Sacred Heart Foundation, Inc
• Sacred Heart Home Healthcare LLC
• Sacred Heart Homes, Inc.
• Sacred Heart Hospice LLC
• Sacred Heart Nursing
• Sacred Heart Nursing Services, Inc.
• Parwin Shetab Sadaat, MD

• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.