Organization Active NPI

PHBH LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1215225016
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PHBH LLC
Practice address
4362 Northlake Blvd
Suite 109
Palm Beach Gardens, FL 33410-6275
Phone
(561) 899-4388
Fax
(561) 328-6356
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Mr. Edward Donahue
Title
Cfo and Authorized Official
Phone
(928) 668-4232

Specialties & licenses 1

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

Addresses

Primary practice location

4362 Northlake Blvd
Suite 109
Palm Beach Gardens, FL 33410-6275

Mailing address

19820 N. 7TH Street
Suite 205, Attn: Finance Dept
Phoenix, AZ 85024-1688
Phone (928) 684-4039

Other names 1

  • Sunspire Health Recovery Road Doing business as

National Provider Directory

National Provider Directory

Locations

19820 N 7th St
Ste 205
Phoenix, AZ 85024

4362 Northlake Blvd
Ste 109
Palm Beach Gardens, FL 33410
Phone (561) 899-4388

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1215225016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N. 7TH STREET",
            "address_2": "SUITE 205, ATTN: FINANCE DEPT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241688",
            "telephone_number": "928-684-4039",
            "fax_number": "623-581-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 109",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-899-4388",
            "fax_number": "561-328-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHBH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "928-668-4232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunspire Health Recovery Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.