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JHEREMY PETE
NPI 1225708654
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since September 16, 2021
1718 N 77TH GLN, PHOENIX, AZ 85035(623) 337-0256 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Sep 16, 2021 (2 updates tracked since 2021).

About Jheremy Pete NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JHEREMY PETE (NPI 1225708654) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Phoenix, Arizona and active in the NPI registry since September 2021. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1225708654
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameJHEREMY PETE
Location Address1718 N 77TH GLNPhoenix, AZ 85035-5053
Mailing Address1718 N 77th GlnPhoenix, AZ 85035-5053 · (623) 337-0256
Phone(623) 337-0256
Sole ProprietorYes
Enumeration DateSeptember 16, 2021
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1225708654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1718 N 77TH GLN, Phoenix, AZ 85035
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Secondary Practice Location 1

Location 11718 N 77th GlnPhoenix, AZ 85035-5053 · Phone (623) 337-0256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jheremy Pete's NPI number?

The NPI number for Jheremy Pete is 1225708654. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Jheremy Pete located?

Jheremy Pete practices at 1718 N 77th Gln, Phoenix, AZ 85035. The listed phone number is (623) 337-0256.

What is Jheremy Pete's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jheremy Pete was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.