Organization Active NPI

Healing Arms of Love Behavioral LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Tan Valley, AZ
National Provider Identifier
1982347571
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HEALING ARMS OF LOVE BEHAVIORAL LLC
Practice address
1689 E Melanie St
San Tan Valley, AZ 85140-5832
Phone
(480) 329-0820
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Gladys Kwamboka
Title
Administrator
Phone
(480) 329-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1689 E Melanie St
San Tan Valley, AZ 85140-5832

Mailing address

1689 E Melanie St
San Tan Valley, AZ 85140-5832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1982347571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 E MELANIE ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 E MELANIE ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405832",
            "telephone_number": "480-329-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ARMS OF LOVE BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "KWAMBOKA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-329-0820"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.