Associate Community Enterprise

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ASSOCIATE COMMUNITY ENTERPRISE

Practice address

8155 N 24TH Ave Ste B
Phoenix, AZ 85021-6883

Phone

(480) 352-9969

NPI assigned

Apr 5, 2021

Last updated

Apr 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Evans

Title

Ceo

Phone

(480) 238-2047

Specialties & licenses 1

Addresses

Other names 1

• Future Forward Behavioral Health Home Other name

Locations

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1174102313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 N 24TH AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850216883",
            "telephone_number": "480-352-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 N 24TH AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850216883",
            "telephone_number": "480-352-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE COMMUNITY ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-238-2047"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Future Forward Behavioral Health Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisteo Palliative Care LLC
• Assisteo US LLC (Assisteo Home Health)
• Associated Billing Services, Inc
• Associated Dental Care Providers
• Associated Family Physicians, P.C.
• Associated Foot & Ankle Specialists PLC
• Associated Gastroenterologists, LTD.

• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.