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CACTUS SAGE LLC
NPI 1902494941
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since January 05, 2021
3424 E CORONADO RD, PHOENIX, AZ 85008(623) 225-1240 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cactus Sage Llc NPPES

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

CACTUS SAGE LLC (NPI 1902494941) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since January 2021. The organization lists Geraldine Mutwol, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902494941
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCACTUS SAGE LLC
Location Address3424 E CORONADO RDPhoenix, AZ 85008-3826
Mailing Address3848 E Pollack StPhoenix, AZ 85042-6207 · (623) 225-1240
Phone(623) 225-1240
Organization SubpartNo
Authorized OfficialGeraldine MutwolCeo · (623) 225-1240
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1902494941 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.
3424 E CORONADO RD, Phoenix, AZ 85008
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Other Identifiers 1

OtherBH6562AZ · Azdhs

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 1902494941. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Cactus Sage LLC located?

Cactus Sage LLC is located at 3424 E Coronado Rd, Phoenix, AZ 85008. 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 January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.