NPIMap

Organization Active NPI

Hushabye Nursery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1265079560
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HUSHABYE NURSERY
Practice address
3003 E McDowell Rd
Phoenix, AZ 85008-3620
Phone
(480) 628-7500
NPI assigned
Dec 5, 2019
Organization subpart
Yes
Parent organization
HUSHABYE NURSERYAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Tara Sue Sundem, RN NNP-BC MSN
Title
Executive Director
Phone
(480) 628-7500

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

Practitioners 12

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200825001871 AZ Part B Supplier - Clinic/Group Practice 3678990470 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Hushabye Nursery (2 organizations share this tax ID)
Part of
Hushabye Nursery

Locations

4520 N Central Ave
Phoenix, AZ 85012

3003 E McDowell Rd
Phoenix, AZ 85008
Phone (480) 628-7500

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

NPPES NPI Registry

Primary practice location

3003 E McDowell Rd
Phoenix, AZ 85008-3620

Mailing address

2473 S Higley Rd Ste 104
Gilbert, AZ 85295-1103
Phone (480) 628-7500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1265079560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951103",
            "telephone_number": "480-628-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083620",
            "telephone_number": "480-628-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSHABYE NURSERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUSHABYE NURSERY",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "SUNDEM",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-628-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN NNP-BC MSN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "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 Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.