NPIMap

Organization Active NPI

Affinity Behavioral Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Goodyear, AZ
National Provider Identifier
1124685300
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AFFINITY BEHAVIORAL CARE, LLC
Practice address
560 N 159TH LN
Goodyear, AZ 85338-3276
Phone
(623) 594-2858
NPI assigned
May 23, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert Breedlove
Title
Authorized Official
Phone
(480) 840-1601

National Provider Directory

National Provider Directory
Tax ID family
Affinity Behavioral Care LLC6 organizations share this tax ID

Corporate family (same tax ID) 5

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

NPPES NPI Registry

Primary practice location

560 N 159TH LN
Goodyear, AZ 85338-3276

Mailing address

5115 N Dysart Rd # 437
Litchfield Park, AZ 85340-3032
Phone (480) 840-1601

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2019.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1124685300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N DYSART RD # 437",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403032",
            "telephone_number": "480-840-1601",
            "fax_number": "480-840-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N 159TH LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383276",
            "telephone_number": "623-594-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-840-1601"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.