CHOSEN BEHAVIORAL HOME LLC NPI 1962181024

NPI Information

NPI: 1962181024
Provider Name: CHOSEN BEHAVIORAL HOME, LLC

Doing Business As: CHOSEN BEHAVIORAL HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
15639 N VERDE ST
SURPRISE, AZ
ZIP 85378
Phone: (623) 248-4100
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CHOSEN BEHAVIORAL HOME, LLC is a community based residential treatment facility mental illness in Surprise, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CHOSEN BEHAVIORAL HOME, LLC NPI is 1962181024. The provider is registered as an organization entity type.
The provider Is Doing Business As Chosen Behavioral Home.

The provider's business location address is:

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

The provider's authorized official is Sab Edwards .
The authorized official title is Owner and has the following contact phone number (623) 248-4100.

The enumeration date for this NPI number is 7/17/2023 and was last updated on 4/26/2024.

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	Primary
1	251S00000X	Community/Behavioral Health	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	Yes
3	324500000X	Substance Abuse Rehabilitation Facility	No

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

NPI Synchronization or Removal

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