Organization Active NPI

Da Homes LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1306443197
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DA HOMES LLC
Practice address
8027 S 24TH Way
Phoenix, AZ 85042-7013
Phone
(623) 312-8111
NPI assigned
Oct 5, 2020
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Dephannie Joung
Title
Administrator/BHT
Phone
(623) 312-8111

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Rehabilitation Hospital Unit 273Y00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

8027 S 24TH Way
Phoenix, AZ 85042-7013

Mailing address

8027 S 24TH Way
Phoenix, AZ 85042-7013
Phone (623) 312-8111

Other identifiers 1

IdentifierTypeStateIssuer
BH6385OtherAZADHS

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL PHOENIX
Other URL PHOENIX

National Provider Directory

National Provider Directory
Tax ID family
Da 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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1306443197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 S 24TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427013",
            "telephone_number": "623-312-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 S 24TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427013",
            "telephone_number": "623-312-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "JOUNG",
        "authorized_official_first_name": "DEPHANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/BHT",
        "authorized_official_telephone_number": "623-312-8111"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "BH6385",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "8027 S 24th Way",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850427013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "8027 S 24th Way",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850427013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 23, 2021; 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.