Active NPI
Heart to Heart Behavioral Health Group Home, LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1336602788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEART TO HEART BEHAVIORAL HEALTH GROUP HOME, LLC
- Practice address
- 8535 W Palm LN
Phoenix, AZ 85037-3902 - Phone
- (480) 977-9457
- NPI assigned
- Apr 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usman J Bundu, RN, MSN/PH
- Title
- Program Director
- Phone
- (480) 977-9457
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
8535 W Palm LN
Phoenix, AZ 85037-3902
Mailing address
3555 N Sailboat LN
Avondale, AZ 85392-3620
Phone (480) 977-9457
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555027200000",
"number": "1336602788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 N SAILBOAT LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923620",
"telephone_number": "480-977-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8535 W PALM LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373902",
"telephone_number": "480-977-9457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART BEHAVIORAL HEALTH GROUP HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A",
"authorized_official_last_name": "BUNDU",
"authorized_official_first_name": "USMAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "480-977-9457",
"authorized_official_credential": "RN, MSN/PH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Heart One Associates LLC
- Heart Rhythm and Vascular LLC
- Heart Rhythm Solutions of Phoenix PLLC
- Heart Rhythm Specialist of Az
- Heart Rhythm Specialists PC
- Heart to Heart Christian Counseling LLC
- Heart to Heart Home Health Care Agency, LLC
- Heartbeat Speech Therapy L.L.C.
- Heartbridge Support Services, LLC
- Hearth Homes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.