NPIMap

Organization Active NPI

Emmarie Behavioral Home Care. LLC

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1184087223
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
BH4831 Issued in AZ
Legal business name
EMMARIE BEHAVIORAL HOME CARE. LLC
Practice address
5748 W Hidalgo Ave
Laveen, AZ 85339-5157
Phone
(602) 237-8045
Fax
(602) 237-9975
NPI assigned
Apr 4, 2016
Organization subpart
Yes
Parent organization
EMMARIE BEHAVIORAL HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Mr. Emmanuel Ade Epie
Title
Owner
Phone
(602) 481-9789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X BH4831 AZ Primary

Addresses

Primary practice location

5748 W Hidalgo Ave
Laveen, AZ 85339-5157

Mailing address

1638 E Greenway Rd
Phoenix, AZ 85042-5788
Phone (602) 237-8045

National Provider Directory

National Provider Directory
Tax ID family
Emmarie Behavioral Home Care LLC5 organizations share this tax ID, including this one
Part of
Emmarie Behavioral Home Care LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1184087223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425788",
            "telephone_number": "602-237-8045",
            "fax_number": "602-237-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5748 W HIDALGO AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395157",
            "telephone_number": "602-237-8045",
            "fax_number": "602-237-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMARIE BEHAVIORAL HOME CARE. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMMARIE BEHAVIORAL HOME CARE, LLC",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "EPIE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-481-9789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2016; 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.