Active NPIOrganization

Ahwatukee Health Care, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder in Phoenix, Arizona

NPI Number1780458687
Practice location
16515 S 40TH St Ste 119, Phoenix, AZ 85048-0559
Fax
480-272-8307
Last updated
March 19, 2025

Ahwatukee Health Care, LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Ahwatukee Health Care, LLC is 1780458687. The current practice location address is 16515 S 40TH St Ste 119, Phoenix, AZ 85048-0559 and the office can be reached by phone at 480-272-8450 and by fax at 480-272-8307. The NPI was assigned on November 10, 2023 and the record was last updated in NPPES on March 19, 2025.

●Provider Profile Details

NPI Number
1780458687
Provider Name
Ahwatukee Health Care, LLC
Entity Type
Organization (Type 2 NPI)
Organization Subpart
No
Authorized Official
Jaime Bogovich · Operations Manager · 518-698-3757
Enumeration Date
November 10, 2023
Last Update Date
March 19, 2025
Certification Date
March 19, 2025
NPI Status
Active
Other Names
Ahwatukee Behavioral Health And Wellness (Doing Business As)

◉Business Practice Location Address

Address
16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559
State
Arizona
ZIP
85048-0559
Country
US
Phone Number
480-272-8450
Fax Number
480-272-8307

Get directions →

✉Business Mailing Address

Address
16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559
City
Phoenix
State
AZ
ZIP
85048-0559
Phone Number
480-272-8450
Fax Number
480-272-8307

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Ahwatukee Health Care, LLC?

The NPI number of Ahwatukee Health Care, LLC is 1780458687. It was assigned on November 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Ahwatukee Health Care, LLC?

Ahwatukee Health Care, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).

Where does Ahwatukee Health Care, LLC practice?

The practice location is 16515 S 40TH St Ste 119, Phoenix, AZ 85048-0559. The office can be reached at 480-272-8450 (phone) or 480-272-8307 (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 1780458687 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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