NPIMap

Organization Active NPI

Horebu Community Sober Living LLC

  • Psychiatric Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1205524329
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
HOREBU COMMUNITY SOBER LIVING LLC
Practice address
2001 W Sunnyside Ave
Phoenix, AZ 85029-3535
Phone
(480) 501-0957
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Yvonne BahatiNPI 1326886482
Title
Directress
Phone
(480) 501-0957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2001 W Sunnyside Ave
Phoenix, AZ 85029-3535

Mailing address

2001 W Sunnyside Ave
Phoenix, AZ 85029-3535
Phone (480) 501-0957

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1205524329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SUNNYSIDE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293535",
            "telephone_number": "480-501-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W SUNNYSIDE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293535",
            "telephone_number": "480-501-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOREBU COMMUNITY SOBER LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BAHATI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTRESS",
        "authorized_official_telephone_number": "480-501-0957"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 26, 2023; 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.