MEDICARE: SOL ACOMA BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326665837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOL ACOMA BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	10339 W MAGNOLIA ST
Second Line	:
City	:	TOLLESON
State	:	AZ
Zip	:	85353-1262
Country	:	US
Telephone Number	:	623-313-0827
Fax Number	:	623-201-6004

Provider Business Practice Location Address
First Line	:	3437 W ACOMA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5620
Country	:	US
Telephone Number	:	602-942-0316
Fax Number	:	623-934-3408

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MAVU JARICHA
Credential	:
Telephone Number	:	623-313-0827

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

Similar Medicare Providers

1639318199 — ASSISTED LIVING AT THE PHOENICIAN INC.
Practice Location Address:

3437 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 480-580-1650
Practice Fax: 480-607-5444

1699289215 — DESERT SPRINGS CARE HOME L.L.C.
Practice Location Address:

3445 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 602-439-2734
Practice Fax: 602-843-1475

1548761141 — SOL ACOMA ASSISTED LIVING LLC
Practice Location Address:

3437 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 480-616-2772
Practice Fax:

1972119733 — ACOMA BEHAVIORAL HEALTH LLC
Practice Location Address:

3437 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 602-888-6779
Practice Fax:

1194423699 — GRACE HANSON
Practice Location Address:

3445 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 602-698-1902
Practice Fax: 602-698-1904

1659182699 — MJ ASSISTED LIVING GROUP LLC
Practice Location Address:

3437 W ACOMA DR
PHOENIX, AZ
85053-5620

Practice Phone: 602-524-0557
Practice Fax:

Directions to “SOL ACOMA BEHAVIORAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.