Provider Demographics
NPI:1033644364
Name:HIGHER ROCK HOMES, INC.
Entity Type:Organization
Organization Name:HIGHER ROCK HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:RANDAL
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:602-516-8332
Mailing Address - Street 1:25447 N 40TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-2437
Mailing Address - Country:US
Mailing Address - Phone:602-516-8332
Mailing Address - Fax:
Practice Address - Street 1:25447 N 40TH LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-2437
Practice Address - Country:US
Practice Address - Phone:602-516-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency