Active NPI
Love Shines Behavioral Health Homes LLC
- Adult Care Home Facility
- Phoenix, AZ
National Provider Identifier
1164070819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- LOVE SHINES BEHAVIORAL HEALTH HOMES LLC
- Practice address
- 16401 N 39TH PL
Phoenix, AZ 85032-3246 - Phone
- (949) 630-1715
- NPI assigned
- Aug 27, 2019
- Organization subpart
- Yes
- Parent organization
- LOVE SHINES BEHAVIORAL HEALTH HOMES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucas Muturi
- Title
- Director
- Phone
- (480) 334-5668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
16401 N 39TH PL
Phoenix, AZ 85032-3246
Mailing address
16401 N 39TH PL
Phoenix, AZ 85032-3246
National Provider Directory
National Provider Directory- Part of
- Love Shines Behavioral Health Homes LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568764800000",
"number": "1164070819",
"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"
},
{
"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": "949-630-1715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE SHINES BEHAVIORAL HEALTH HOMES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOVE SHINES BEHAVIORAL HEALTH HOMES LLC",
"enumeration_date": "2019-08-27",
"last_updated": "2019-09-18",
"status": "A",
"authorized_official_last_name": "MUTURI",
"authorized_official_first_name": "LUCAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-334-5668"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 18, 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.