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
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HUSHABYE NURSERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mrs. Tara Sue Sundem, RN NNP-BC MSNNPI 1629302567
Title
Executive Director
Phone
(480) 628-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

Medicare participation

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

Enrollment records 1

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 Nursery2 organizations share this tax ID, including this one
Part of
Hushabye Nursery

Other organizations with this tax ID 1

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

Locations

4520 N Central Ave
Phoenix, AZ 85012

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "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.