| Hearth Homes | |
|
4435 E Phelps Rd Phoenix AZ 85032-2822 | |
| (602) 218-8860 | |
| (602) 218-8860 |
| Full Name | Hearth Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4435 E Phelps Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Ava Yolande Hector (ADMINISTRATOR) |
| Authorized Official Contact | 6022188860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearth Homes 4435 E Phelps Rd Phoenix AZ 85032-2822 Ph: (602) 218-8860 | Hearth Homes 4435 E Phelps Rd Phoenix AZ 85032-2822 Ph: (602) 218-8860 |
| NPI Number | 1245762087 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245762087 | NPI | - | NPPES |
| BH5132 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH5132 (Arizona) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH5132 (Arizona) | Secondary |
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