Organization
DA HOMES LLC
Active
Organization
DA HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEPHANNIE JOUNG (OWNER/ADMINISTRATOR)
(623) 312-8111
Entity
Organization
Contact information
Practice address
742 E GARNET AVE, MESA, AZ 85204-5713
(623) 312-8111
Mailing address
742 E GARNET AVE, MESA, AZ 85204-5713
(623) 312-8111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5804
STATE OF ARIZONA DEPARTMENT OF HEALTH
AZ
Enumeration date
07/11/2019
Last updated
03/23/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up