Huduma House, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

HUDUMA HOUSE, LLC

Doing business as

Huduma House, LLC

Practice address

6249 W Southgate St
Phoenix, AZ 85043-1909

Phone

(602) 296-4013

Fax

(602) 932-1390

NPI assigned

Nov 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Robert Koskei

Title

Ceo

Phone

(602) 516-9785

Specialties & licenses 1

Addresses

Other names 1

• Huduma House, LLC Doing business as

Electronic endpoints 1

Tax ID family

Huduma House LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Huduma House, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1386102788
  NPD tax ID
• Huduma House, LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
  • NPI 1851909964
  NPD tax ID

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

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669248000000",
    "number": "1184334641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 S WILLOW DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834137",
            "telephone_number": "602-516-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 W SOUTHGATE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431909",
            "telephone_number": "602-296-4013",
            "fax_number": "602-932-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDUMA HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-24",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "KOSKEI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-516-9785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hudumahousearizona.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "6249 W Southgate St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850431909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Huduma House, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark J Troy Hudson III, DC
• Robin Hudson, LPC
• Rylie Leigh-Anne Hudson
• Shelbye Hudson
• Huduma Care Services LLC
• Huduma House, LLC
• Huduma House, LLC
• Natasha Huebner, BCBA, LBA
• Mary Renay Huegler, FNP-C
• Amanda Elizabeth Huels, PHARM.D., BCPS

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; 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.