1514 Bethany Home Management, LLC
Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona
1801369632- Practice location
- 1514 W Bethany Home RD, Phoenix, AZ 85015-2504
- Phone
- 602-888-6779
- Fax
- —
- Last updated
- January 3, 2019
1514 Bethany Home Management, LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 1514 Bethany Home Management, LLC is 1801369632. The current practice location address is 1514 W Bethany Home RD, Phoenix, AZ 85015-2504 and the office can be reached by phone at 602-888-6779. The NPI was assigned on January 3, 2019 and the record was last updated in NPPES on January 3, 2019.
●Provider Profile Details
- NPI Number
- 1801369632
- Provider Name
- 1514 Bethany Home Management, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Mr. James Guajardo · Manager · 480-384-0789
- Enumeration Date
- January 3, 2019
- Last Update Date
- January 3, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1514 W Bethany Home RD
Phoenix, AZ 85015-2504 - City
- Phoenix
- State
- Arizona
- ZIP
- 85015-2504
- Country
- US
- Phone Number
- 602-888-6779
✉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
- 480-384-0789
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Case Management | 251B00000X | No | — | — |
| Community/Behavioral Health | 251S00000X | No | — | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | No | — | — |
| Intermediate Care Facility, Mental Illness | 310500000X | 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 1514 Bethany Home Management, LLC?
The NPI number of 1514 Bethany Home Management, LLC is 1801369632. It was assigned on January 3, 2019 and is currently active in the NPPES registry.
What is the specialty of 1514 Bethany Home Management, LLC?
1514 Bethany Home Management, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does 1514 Bethany Home Management, LLC practice?
The practice location is 1514 W Bethany Home RD, Phoenix, AZ 85015-2504. The office can be reached at 602-888-6779 (phone).
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 1801369632 directly on the NPPES registry website at npiregistry.cms.hhs.gov.