NPIMap

Organization Active NPI

Angel Heart Behavioral Health II LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1023655040
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ANGEL HEART BEHAVIORAL HEALTH II LLC
Doing business as
Angel Heart Behavioral Health II LLC
Practice address
7432 W Glenrosa Ave
Phoenix, AZ 85033-2518
Phone
(207) 409-6515
NPI assigned
Dec 9, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Aimee Nyirakanyana
Title
Ceo
Phone
(207) 409-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

7432 W Glenrosa Ave
Phoenix, AZ 85033-2518

Mailing address

7432 W Glenrosa Ave
Phoenix, AZ 85033-2518
Phone (207) 409-6515

Other identifiers 1

IdentifierTypeStateIssuer
BH5941MedicaidAZ

Other names 1

  • ANGEL HEART BEHAVIORAL HEALTH II LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL PHOENIX

National Provider Directory

National Provider Directory
Tax ID family
Angel Heart Behavavioral Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1023655040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 W GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850332518",
            "telephone_number": "207-409-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 W GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850332518",
            "telephone_number": "207-409-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART BEHAVIORAL HEALTH II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "NYIRAKANYANA",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-409-6515"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH5941",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "7432 W Glenrosa Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850332518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ANGEL HEART BEHAVIORAL HEALTH II LLC",
            "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 Dec 9, 2019; 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.