NPIMap

Organization Active NPI

Great Valley Behavioral Homes

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1285459149
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
GREAT VALLEY BEHAVIORAL HOMES
Practice address
5610 W Hardtack TRL
Laveen, AZ 85339-1276
Phone
(480) 232-8260
NPI assigned
Nov 16, 2024
Organization subpart
Yes
Parent organization
GREAT VALLEY BEHAVIORAL HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Dr. Cholleta Wanjiru Menja, DNP,PMHNP-BCNPI 1659990844
Title
Administrator
Phone
(480) 232-8260

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
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

5610 W Hardtack TRL
Laveen, AZ 85339-1276

Mailing address

5723 W Pueblo Ave
Phoenix, AZ 85043-6404
Phone (480) 232-8260

National Provider Directory

National Provider Directory
Tax ID family
Great Valley Behavioral Homes LLC13 organizations share this tax ID, including this one
Part of
Great Valley Behavioral Homes LLC

Other organizations with this tax ID 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1285459149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 W PUEBLO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850436404",
            "telephone_number": "480-232-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W HARDTACK TRL",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391276",
            "telephone_number": "480-232-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VALLEY BEHAVIORAL HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT VALLEY BEHAVIORAL HOMES",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "MENJA",
        "authorized_official_first_name": "CHOLLETA",
        "authorized_official_middle_name": "WANJIRU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-232-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.