NPIMap

Organization Active NPI

Phoenix Oasis Recovery Homes Inc.

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1205380730
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
OTC7750 Issued in AZ
Legal business name
PHOENIX OASIS RECOVERY HOMES INC.
Practice address
5320 N 16TH St Ste 102
Phoenix, AZ 85016-3241
Phone
(602) 686-7260
Fax
(602) 466-1987
NPI assigned
Aug 13, 2016
Last updated
Aug 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Authorized official

Name
Mr. David W Beyer, MD
Title
Ceo/President
Phone
(734) 787-9846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OTC7750 AZ Primary

Addresses

Primary practice location

5320 N 16TH St Ste 102
Phoenix, AZ 85016-3241

Mailing address

5320 N 16TH St Ste 102
Phoenix, AZ 85016-3241
Phone (602) 686-7260

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Oasis Recovery Homes Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5320 N 16th St
Ste 102
Phoenix, AZ 85016
Phone (602) 686-7260

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471046400000",
    "number": "1205380730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N 16TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163241",
            "telephone_number": "602-686-7260",
            "fax_number": "602-466-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N 16TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163241",
            "telephone_number": "602-686-7260",
            "fax_number": "602-466-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX OASIS RECOVERY HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "734-787-9846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "OTC7750",
            "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 Aug 13, 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.