Healthcare Provider Details

I. General information

NPI: 1912693243
Provider Name (Legal Business Name): JHO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 09/02/2025
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42796 W IRENE RD STE A
MARICOPA AZ
85138-5898
US

IV. Provider business mailing address

42796 W IRENE RD STE A
MARICOPA AZ
85138-5898
US

V. Phone/Fax

Practice location:
  • Phone: 602-791-2316
  • Fax:
Mailing address:
  • Phone: 602-791-2316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BLANCHARD
Title or Position: OWNER
Credential:
Phone: 602-791-2316