NPIMap

Organization Active NPI

Az Villa Behavioral Home.LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1053931089
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
AZ VILLA BEHAVIORAL HOME.LLC
Doing business as
Az Villa Behavioral Home.LLC
Practice address
16401 N 39TH PL
Phoenix, AZ 85032-3246
Phone
(602) 620-7544
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Solange Amani Mirindi
Title
Director
Phone
(602) 620-7544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

16401 N 39TH PL
Phoenix, AZ 85032-3246

Mailing address

16401 N 39TH PL
Phoenix, AZ 85032-3246
Phone (602) 620-7544

Other names 1

  • Az Villa Behavioral Home.LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Phoenix
CONNECT URL Phoenix

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1053931089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 N 39TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323246",
            "telephone_number": "602-620-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 N 39TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323246",
            "telephone_number": "602-620-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ VILLA BEHAVIORAL HOME.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MIRINDI",
        "authorized_official_first_name": "SOLANGE",
        "authorized_official_middle_name": "AMANI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-620-7544"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "16401 N 39th Pl",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850323246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "16401 N 39th Pl",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850323246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Az Villa Behavioral Home.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 Apr 20, 2020; 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.