NPIMap

Organization Active NPI

Ineza Behavioral Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
National Provider Identifier
1245934066
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
INEZA BEHAVIORAL HOMES LLC
Doing business as
Ineza Behavioral Homes LLC
Practice address
11937 W Monte Vista Rd
Avondale, AZ 85392-6453
Phone
(718) 207-8511
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Alain P NahimanaNPI 1184324329
Title
Administrator
Phone
(718) 207-8511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

11937 W Monte Vista Rd
Avondale, AZ 85392-6453

Mailing address

11937 W Monte Vista Rd
Avondale, AZ 85392-6453
Phone (718) 207-8511

Other names 1

  • INEZA BEHAVIORAL HOMES LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ineza Behavioral Homes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1245934066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11937 W MONTE VISTA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926453",
            "telephone_number": "718-207-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 W MONTE VISTA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926453",
            "telephone_number": "718-207-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INEZA BEHAVIORAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "NAHIMANA",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-207-8511"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INEZA BEHAVIORAL HOMES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.