NPIMap

Organization Active NPI

Holy Trinity Behavioral,LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1184258758
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
HOLY TRINITY BEHAVIORAL,LLC
Practice address
5308 W Vernon Ave
Phoenix, AZ 85035-1953
Phone
(623) 271-9011
NPI assigned
Feb 23, 2020
Organization subpart
Yes
Parent organization
HOLY TRINITY BEHAVIORAL,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Authorized official

Name
Mrs. Christine Kemboi
Title
Director
Phone
(623) 271-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

5308 W Vernon Ave
Phoenix, AZ 85035-1953

Mailing address

5308 W Vernon Ave
Phoenix, AZ 85035-1953

National Provider Directory

National Provider Directory
Tax ID family
Holy Trinity Behavioralllc3 organizations share this tax ID, including this one
Part of
Holy Trinity Behavioralllc

Other organizations with this tax ID 2

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1184258758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351953",
            "telephone_number": "623-271-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TRINITY BEHAVIORAL,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY TRINITY BEHAVIORAL,LLC",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "KEMBOI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-271-9011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "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 Feb 23, 2020; 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.