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SEEDS OF GAIA LLC NPI 1568853752


NPI Information

NPI: 1568853752
Provider Name: SEEDS OF GAIA LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
455 S MESA DR UNIT 142
MESA, AZ
ZIP 85210
Phone: (480) 277-0313
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SEEDS OF GAIA LLC is a community behavioral health in Mesa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SEEDS OF GAIA LLC NPI is 1568853752. The provider is registered as an organization entity type.

The provider's business location address is:

455 S MESA DR UNIT 142
MESA, AZ
ZIP 85210-711
Phone: (480) 277-0313

The provider's authorized official is Moise Kelly .
The authorized official title is President and has the following contact phone number (480) 277-0313.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)957399ARIZONANo
2251B00000XCase Management957399ARIZONANo
3251C00000XDay Training, Developmentally Disabled Services957399ARIZONANo
4251E00000XHome Health957399ARIZONANo
5251K00000XPublic Health or Welfare957399ARIZONANo
6252Y00000XEarly Intervention Provider Agency957399ARIZONANo
7253Z00000XIn Home Supportive Care957399ARIZONANo
8305R00000XPreferred Provider Organization957399ARIZONANo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities957399ARIZONANo
10322D00000XResidential Treatment Facility, Emotionally Disturbed Children957399ARIZONANo
11343900000XNon-emergency Medical Transport (VAN)957399ARIZONANo
12385H00000XRespite Care957399ARIZONANo
13385HR2050XRespite CareRespite Care Camp957399ARIZONANo
14251S00000XCommunity/Behavioral Health957399ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1957399MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.