2047 W Keim Management LLC
Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona
1245882364- Practice location
- 2047 W Keim Dr, Phoenix, AZ 85015-1527
- Phone
- 602-888-6779
- Fax
- 602-429-8149
- Last updated
- July 9, 2019
2047 W Keim Management LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 2047 W Keim Management LLC is 1245882364. The current practice location address is 2047 W Keim Dr, Phoenix, AZ 85015-1527 and the office can be reached by phone at 602-888-6779 and by fax at 602-429-8149. The NPI was assigned on July 9, 2019 and the record was last updated in NPPES on July 9, 2019.
●Provider Profile Details
- NPI Number
- 1245882364
- Provider Name
- 2047 W Keim Management LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- James Guarjdo · Manager · 480-384-0789
- Enumeration Date
- July 9, 2019
- Last Update Date
- July 9, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2047 W Keim Dr
Phoenix, AZ 85015-1527 - City
- Phoenix
- State
- Arizona
- ZIP
- 85015-1527
- Country
- US
- Phone Number
- 602-888-6779
- Fax Number
- 602-429-8149
✉Business Mailing Address
- Address
- 14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847 - City
- Scottsdale
- State
- AZ
- ZIP
- 85260-8847
- Phone Number
- 602-888-6779
- Fax Number
- 602-429-8149
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) 193200000X - Multi-Specialty Group | 101YA0400X | No | — | — |
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | No | — | — |
| Case Management | 251B00000X | No | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | No | — | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | No | — | — |
| Intermediate Care Facility, Mental Illness | 310500000X | No | — | — |
| Substance Abuse Rehabilitation Facility | 324500000X | No | — | — |
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of 2047 W Keim Management LLC?
The NPI number of 2047 W Keim Management LLC is 1245882364. It was assigned on July 9, 2019 and is currently active in the NPPES registry.
What is the specialty of 2047 W Keim Management LLC?
2047 W Keim Management LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does 2047 W Keim Management LLC practice?
The practice location is 2047 W Keim Dr, Phoenix, AZ 85015-1527. The office can be reached at 602-888-6779 (phone) or 602-429-8149 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245882364 directly on the NPPES registry website at npiregistry.cms.hhs.gov.