NPIMap

Organization Active NPI

Great Valley Behavioral Homes

  • Community/Behavioral Health Agency
  • Laveen, AZ
National Provider Identifier
1063282911
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREAT VALLEY BEHAVIORAL HOMES
Practice address
5420 W Walatowa St
Laveen, AZ 85339-1316
Phone
(480) 232-8260
Fax
(160) 222-5220
NPI assigned
Jan 3, 2024
Organization subpart
Yes
Parent organization
GREAT VALLLEY BEHAVIORAL HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Cholleta Wanjiru Menja, DNP, PMHNP-BCNPI 1659990844
Title
Administrator
Phone
(480) 232-8260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5420 W Walatowa St
Laveen, AZ 85339-1316

Mailing address

5420 W Walatowa St
Laveen, AZ 85339-1316
Phone (480) 232-8260

Other names 1

  • GREAT VALLEY BEHAVIORAL HOMES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Valley Behavioral Homes LLC13 organizations share this tax ID, including this one
Part of
Great Valley Behavioral Homes LLC

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1063282911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W WALATOWA ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391316",
            "telephone_number": "480-232-8260",
            "fax_number": "160-222-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W WALATOWA ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391316",
            "telephone_number": "480-232-8260",
            "fax_number": "160-222-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VALLEY BEHAVIORAL HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT VALLLEY BEHAVIORAL HOMES",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MENJA",
        "authorized_official_first_name": "CHOLLETA",
        "authorized_official_middle_name": "WANJIRU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-232-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT VALLEY BEHAVIORAL HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.