Az Behavioral Health Services LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

AZ BEHAVIORAL HEALTH SERVICES LLC

Doing business as

AZ Behavioral Health Services LLC

Practice address

2126 W Coolbrook Ave
Phoenix, AZ 85023-2260

Phone

(602) 993-1455

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Mohamed Ali Mohamed, MSC

Title

Director

Phone

(919) 641-8958

Specialties & licenses 1

Addresses

Other names 1

• AZ Behavioral Health Services LLC Doing business as

Tax ID family

Az Behavioral Health Services 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.

• Az Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1396262044
  NPD tax ID

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1326613720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 W COOLBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850232260",
            "telephone_number": "602-993-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W COOLBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850232260",
            "telephone_number": "602-993-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-641-8958",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.