Hope Group Home LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)

Address: 6315 W Warner St, Phoenix, AZ 85043-0139
Phone: 6023866212

Hope Group Home LLC (NPI# 1033822457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033822457
Entity Type Organization
Organization Name HOPE GROUP HOME LLC
Practice Address 6315 W Warner St
Phoenix
AZ 85043-0139
Practice Telephone 6023866212
Mailing Address 6315 W Warner St
Phoenix
AZ 85043-0139
Mailing Telephone 6023866212
Authorized Official Name Henok Kase (OWNER)
Authorized Official Telephone 6023866212
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2022-12-30
Last Update Date 2022-12-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3104A0630X Assisted Living Facility · Assisted Living, Behavioral Disturbances Nursing & Custodial Care Facilities

Taxonomy Information

Taxonomy Code 3104A0630X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Behavioral Disturbances

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Notes: [7/1/2003: new]

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Office Location

Street Address 6315 W WARNER ST
City PHOENIX
State AZ
Zip Code 85043-0139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639893738 Henok Teka Kase 6315 W Warner St, Phoenix, AZ 85043-0139 2022-10-03

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Competitor

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City PHOENIX
Zip Code 85043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.