Organization Active NPI

Wilwamh Care LLC

  • Community/Behavioral Health Agency
  • Florence, AZ
National Provider Identifier
1245015080
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILWAMH CARE LLC
Practice address
6705 E Flynn Ave
Florence, AZ 85132-5110
Phone
(480) 787-6790
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Wilson Kahunyo, CEO
Title
Ceo
Phone
(508) 423-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6705 E Flynn Ave
Florence, AZ 85132-5110

Mailing address

619 E Leslie Ave
San Tan Valley, AZ 85140-4148
Phone (508) 423-9444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1245015080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E LESLIE AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404148",
            "telephone_number": "508-423-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 E FLYNN AVE",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851325110",
            "telephone_number": "480-787-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILWAMH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KAHUNYO",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-423-9444",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.