ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
KEIM · Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Address: 2208 W Keim Dr, Phoenix, AZ 85015-1943

ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. (NPI# 1811167067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811167067
Entity Type Organization
Organization Name ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Other Organization Name KEIM (Doing Business As Name)
Practice Address 2208 W Keim Dr
Phoenix
AZ 85015-1943
Practice Telephone 6022420703
Mailing Address 110 W Camelback Rd
Phoenix
AZ 85013-2564
Mailing Telephone 6022302222
Mailing Fax Number 6022302026
Enumeration Date 2008-03-04
Last Update Date 2008-03-04
Authorized Official Telephone 6022302222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities BH-2625 AZ Residential Treatment Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
935596 AZ MEDICAID

Other Provider/Organization Names

Other Name Type Code
Keim Doing Business As Name

Providers with the same name

NPI Name Taxonomy Address Enumeration
1477723617 Arizona Health Care Contract Management Services Inc. · Northwoods Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4301 W Windrose Dr, Glendale, AZ 85304-2102 2008-03-04
1407026644 Arizona Health Care Contract Management Services Inc. · Six Pines Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5344 N 40th Ln, Phoenix, AZ 85019-2213 2008-03-04
1699945824 Arizona Health Care Contract Management Services Inc. · Hayward Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7722 N 42nd Ave, Phoenix, AZ 85051-5711 2008-03-04
1164692307 Arizona Health Care Contract Management Services Inc. · Oregon Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6835 W Oregon Ave, Glendale, AZ 85303-5926 2008-03-04
1013187277 Arizona Health Care Contract Management Services Inc. · State Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2022 W State Ave, Phoenix, AZ 85021-7838 2008-03-04
1003086232 Arizona Health Care Contract Management Services Inc. · Kings Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6627 W Kings Ave, Glendale, AZ 85306-1615 2008-03-04

Office Location

Street Address 2208 W KEIM DR
City PHOENIX
State AZ
Zip Code 85015-1943

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1356961312 Ascend Behavioral Health and Wellness,Llc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3204 W Quail Track Dr, Phoenix, AZ 85083-5827 2020-04-20
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1083967376 Fsl Pathways · Hayward House Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4023 W Hayward Ave, Phoenix, AZ 85051-5749 2012-10-24
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City PHOENIX
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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.