Lamac House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH3862 Issued in AZ

Legal business name

LAMAC HOUSE

Practice address

4324 E Friess Dr
Phoenix, AZ 85032-5802

Phone

(647) 836-0887

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Joyce Odongo, REGISTERED NURSE

Title

Manager/Administrator

Phone

(647) 836-0887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1184911976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 E FRIESS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325802",
            "telephone_number": "647-836-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 E FRIESS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325802",
            "telephone_number": "647-836-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAC HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ODONGO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "647-836-0887",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.