Rising Star Behavior Health LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

RISING STAR BEHAVIOR HEALTH LLC

Practice address

546 E Pasture Canyon Dr
San Tan Valley, AZ 85143-5814

Phone

(720) 499-8868

Fax

(480) 452-0828

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Simon Addei

Title

Administrator

Phone

(602) 814-4693

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• RISING STAR BEHAVIOR HEALTH LLC Former legal business name

Tax ID family

Rising Star Behavior Health 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.

• Rising Star Behavior Health LLC

  • Developmentally Disabled Services Day Training Agency
  • Gilbert, AZ
  • NPI 1215710355
  NPD tax ID

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1346997392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 E PASTURE CANYON DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435814",
            "telephone_number": "602-814-4693",
            "fax_number": "480-452-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E PASTURE CANYON DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435814",
            "telephone_number": "720-499-8868",
            "fax_number": "480-452-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR BEHAVIOR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "ADDEI",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-814-4693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH7360",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISING STAR BEHAVIOR HEALTH LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RISING STAR BEHAVIOR HEALTH LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richlin Regal Residency
• Richlin Regal Residency
• Riley Nicole Herman Ricks, PA-C
• Tara Michelle Ridgeway, APRN
• Jeffrey Lee Ridout
• Jim W Roarty, P.T.
• A'Lisa Roberts
• Courtney Rockhill
• Adriane Rene Rohrer, AGACNP
• Tanishann Romero, SLPA

• Psychiatric Residential Treatment Facility in San Tan Valley, AZ
• Providers in San Tan Valley, 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 Jun 17, 2022; 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.