Provider Type Icon

SAB EDWARDS CNA NPI 1134803265


NPI Information

NPI: 1134803265
Provider Name: SAB EDWARDS, CNA
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
15639 N VERDE ST
SURPRISE, AZ
ZIP 85378
Phone: (623) 248-4100
Get Directions

Sab Edwards, CNA is a community behavioral health in Surprise, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Sab Edwards, CNA NPI is 1134803265. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15639 N VERDE ST
SURPRISE, AZ
ZIP 85378-168
Phone: (623) 248-4100

The enumeration date for this NPI number is 6/9/2023 and was last updated on 2/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerSLH10671ARIZONANo
2253J00000XFoster Care AgencySLH10671ARIZONANo
3347C00000XPrivate VehicleARIZONANo
4251S00000XCommunity/Behavioral HealthSLH10671ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1132133MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.