Provider Demographics
NPI:1548407851
Name:HELPING HEARTS RESIDENTIAL FACILITIES
Entity Type:Organization
Organization Name:HELPING HEARTS RESIDENTIAL FACILITIES
Other - Org Name:HELPING HEARTS RESIDENTIAL FACILITIES,5
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-441-2691
Mailing Address - Street 1:PO BOX 26028
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-6028
Mailing Address - Country:US
Mailing Address - Phone:602-441-2691
Mailing Address - Fax:602-358-7269
Practice Address - Street 1:8215 W EARLL DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-4718
Practice Address - Country:US
Practice Address - Phone:602-441-2691
Practice Address - Fax:602-358-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3148251B00000X, 251K00000X, 251S00000X, 305S00000X, 320800000X, 320900000X, 385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No305S00000XManaged Care OrganizationsPoint of Service
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child