NPIMap

Organization Active NPI

Scottsdale BH LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
National Provider Identifier
1306629670
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SCOTTSDALE BH LLC
Practice address
5642 E Edgemont Ave
Scottsdale, AZ 85257-1026
Phone
(952) 649-8971
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Jake Crawford
Title
Ceo
Phone
(480) 463-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5642 E Edgemont Ave
Scottsdale, AZ 85257-1026

Mailing address

6414 E Beverly LN
Scottsdale, AZ 85254-1432
Phone (480) 463-4315

National Provider Directory

National Provider Directory
Tax ID family
Scottsdale BH LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1306629670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 E BEVERLY LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541432",
            "telephone_number": "480-463-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 E EDGEMONT AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571026",
            "telephone_number": "952-649-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE BH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-463-4315"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Aug 18, 2023; 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.