Provider Demographics
NPI:1073577839
Name:HOUSE HABILITATIVE OPPORTUNITES UTILIZING SOCIAL EXPERIENCES, LLC
Entity Type:Organization
Organization Name:HOUSE HABILITATIVE OPPORTUNITES UTILIZING SOCIAL EXPERIENCES, LLC
Other - Org Name:H.O.U.S.E., LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA RITA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:480-634-5440
Mailing Address - Street 1:3295 N DRINKWATER BLVD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6437
Mailing Address - Country:US
Mailing Address - Phone:480-634-5440
Mailing Address - Fax:480-634-5038
Practice Address - Street 1:3295 N DRINKWATER BLVD
Practice Address - Street 2:SUITE 15
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6437
Practice Address - Country:US
Practice Address - Phone:480-634-5440
Practice Address - Fax:480-634-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3223224Z00000X
AZ3200224Z00000X
AZ2799225X00000X
AZSLP0294235Z00000X
AZSLP1651235Z00000X
AZSLP0828235Z00000X
AZSLP1787235Z00000X
AZSLP0731235Z00000X
AZSLP4058235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty