The Heritage Behavioral Health Home LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE HERITAGE BEHAVIORAL HEALTH HOME LLC

Practice address

3927 W Rovey Ave
Phoenix, AZ 85019-1633

Phone

(973) 452-2505

NPI assigned

Jun 13, 2022

Organization subpart

Yes

Parent organization

THE HERITAGE BEHAVIORAL HEALTH HOME LLCAs reported in NPPES

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

Authorized official

Name

Julia Smith-Dorsey

Title

Ceo

Phone

(973) 452-2505

Specialties & licenses 2

Addresses

Other names 1

• The Heritage Behavioral Health Home ll Doing business as

Tax ID family

The Heritage Behavioral Health Home LLC2 organizations share this tax ID, including this one

Part of

The Heritage Behavioral Health Home LLC

Other organizations with this tax ID 1

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

• The Heritage Behavioral Health Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1114536752
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Heritage Behavioral Health Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1114536752
  NPPES parent name

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1124758214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 W ROVEY AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191633",
            "telephone_number": "973-452-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 W ROVEY AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191633",
            "telephone_number": "973-452-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE BEHAVIORAL HEALTH HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HERITAGE BEHAVIORAL HEALTH HOME LLC",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SMITH-DORSEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-452-2505"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heritage Behavioral Health Home ll",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Heritage Behavioral Health Home ll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.