PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION
NPI 1811497670
Community/Behavioral Health in Phoenix, AZ

Active since February 19, 2018
1801 S 35TH AVE, PHOENIX, AZ 85009(602) 233-3000(602) 272-5614 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2023, Dec 21, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission NPPES

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

PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION (NPI 1811497670) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since February 2018. The organization lists Nathan A. Smith, Chief Program Officer, as its authorized official.

NPPES Registry Identity

NPI1811497670
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION
Location Address1801 S 35TH AVEPhoenix, AZ 85009-6706
Mailing Address1540 W Van Buren StPhoenix, AZ 85007-2414 · (602) 233-3000
Fax(602) 272-5614
Organization SubpartNo
Authorized OfficialNathan A. SmithChief Program Officer · (602) 419-8194
Enumeration DateFebruary 19, 2018
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1811497670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

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.

1801 S 35TH AVE, Phoenix, AZ 85009

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1801 S 35TH AVE
PHOENIX, AZ 85009
Clinic/Center (Federally Qualified Health Center (FQHC))
1801 S 35TH AVE
PHOENIX, AZ 85009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811497670, enumerated as an "organization" on February 19, 2018.

The provider is located at 1801 S 35TH AVE PHOENIX, AZ 85009 and the phone number is (602) 233-3000.

Community/Behavioral Health with taxonomy code 251S00000X.