CACTUS SAGE LLC
NPI 1336881911
Community Based Residential Treatment Facility, Mental Illness in Laveen, AZ

Q: What is Cactus Sage LLC's NPI number?

The NPI number for Cactus Sage LLC is 1336881911. It was assigned to this organization in the NPPES registry on April 12, 2022. The provider is doing business as Cactus Sage 3.

Q: What is Cactus Sage LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Cactus Sage LLC was last updated on April 12, 2022. 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.

Active since April 12, 2022

6522 W LATONA RD, LAVEEN, AZ 85339(623) 225-1240 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Cactus Sage Llc NPPES

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

CACTUS SAGE LLC (NPI 1336881911), doing business as Cactus Sage 3, is a healthcare organization registered as a community based residential treatment facility, mental illness in Laveen, Arizona and active in the NPI registry since April 2022. The organization lists Geraldine Mutwol, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336881911

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCACTUS SAGE LLC

Location Address6522 W LATONA RDLaveen, AZ 85339-3083

Mailing Address3848 E Pollack StPhoenix, AZ 85042-6207 · (623) 225-1240

Phone(623) 225-1240

Organization SubpartNo

Authorized OfficialGeraldine MutwolCeo · (623) 225-1240

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1336881911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

6522 W LATONA RD, Laveen, AZ 85339

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Other Names 1

Doing Business AsCactus Sage 3

Other Identifiers 1

OtherBH7542AZ · Az Department Of Health Services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKA LLC

Community Based Residential Treatment Facility, Mental Illness

6522 W LATONA RD
LAVEEN, AZ 85339

Maricopa County (520) 757-5512

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 Cactus Sage LLC's NPI number?

The NPI number for Cactus Sage LLC is 1336881911. It was assigned to this organization in the NPPES registry on April 12, 2022. The provider is doing business as Cactus Sage 3.

Where is Cactus Sage LLC located?

Cactus Sage LLC is located at 6522 W Latona Rd, Laveen, AZ 85339. The listed phone number is (623) 225-1240.

What is Cactus Sage LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Cactus Sage LLC was last updated on April 12, 2022. 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.