NPIMap

Organization Active NPI

BBC Scottsdale LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsdale, AZ
National Provider Identifier
1285260448
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BBC SCOTTSDALE LLC
Practice address
808 N 74TH St
Scottsdale, AZ 85257-4310
Phone
(480) 660-5775
Fax
(480) 660-5775
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Brent Johnston
Title
Executive Director
Phone
(480) 660-5775

Specialties & licenses 1

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

Addresses

Primary practice location

808 N 74TH St
Scottsdale, AZ 85257-4310

Mailing address

3320 W Cheryl Dr Ste B120
Phoenix, AZ 85051-9560
Phone (480) 660-5775

National Provider Directory

National Provider Directory
Tax ID family
BBC Scottsdale LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3320 W Cheryl Dr
Ste B120
Phoenix, AZ 85051
Phone (602) 374-5775

15029 N Thompson Peak Pkwy
Ste B111
Scottsdale, AZ 85260
Phone (480) 200-9035

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1285260448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W CHERYL DR STE B120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519560",
            "telephone_number": "480-660-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 74TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574310",
            "telephone_number": "480-660-5775",
            "fax_number": "480-660-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBC SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-660-5775"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.