Solomon Tabe

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH8993 Issued in AZ

Practice address

6838 W Pedro LN
Laveen, AZ 85339-4702

Phone

(301) 693-8818

NPI assigned

Nov 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Star Behavioral Health Services LLC

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
  • NPI 1033953591
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1336913847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 W PEDRO LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394702",
            "telephone_number": "301-693-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 W PEDRO LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394702",
            "telephone_number": "301-693-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABE",
        "first_name": "SOLOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH8993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Behavioral Care, LLC
• Soncerea Trill Swift, FP
• Symponia LLC
• T R Minafee Family Nurse Practitioner LLC
• T.W. Holst Group LLC
• Alnair Taha
• Takoda Behavioral Homes LLC
• Tassiliman House LLC
• Tayas Best Care LLC
• Alphonso Taylor

• Psychiatric Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

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