NPIMap

Organization Active NPI

The 12TH Ave House #1

Doing business as Helping Hearts #1

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1013177666
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH - 3055 Issued in AZ
Legal business name
THE 12TH AVE HOUSE #1
Doing business as
Helping Hearts #1
Practice address
9606 N 12TH Ave
Phoenix, AZ 85021-3095
Phone
(602) 441-2691
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Singleton
Title
Administrator
Phone
(602) 441-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH - 3055 AZ Primary

Addresses

Primary practice location

9606 N 12TH Ave
Phoenix, AZ 85021-3095

Mailing address

9606 N 12TH Ave
Phoenix, AZ 85021-3095

Other names 1

  • Helping Hearts #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Helping Hearts10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1013177666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 N 12TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 N 12TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213095",
            "telephone_number": "602-441-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 12TH AVE HOUSE #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-441-2691"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH - 3055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helping Hearts #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.