Active NPI
Mave Care Behavioral Health LLC
- Psychiatric Residential Treatment Facility
- Laveen, AZ
National Provider Identifier
1376382515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MAVE CARE BEHAVIORAL HEALTH LLC
- Doing business as
- Mave Care Behavioral Health LLC
- Practice address
- 4721 W St Kateri Dr
Laveen, AZ 85339-8201 - Phone
- (202) 725-1570
- NPI assigned
- May 20, 2024
- 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
- Alex Matthew
- Title
- Administrator
- Phone
- (202) 725-1570
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
4721 W St Kateri Dr
Laveen, AZ 85339-8201
Mailing address
4721 W St Kateri Dr
Laveen, AZ 85339-8201
Phone (202) 725-1570
Other names 1
- MAVE CARE BEHAVIORAL HEALTH LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1376382515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 W ST KATERI DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853398201",
"telephone_number": "202-725-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 W ST KATERI DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853398201",
"telephone_number": "202-725-1570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAVE CARE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-20",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "MATTHEW",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "202-725-1570"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MAVE CARE BEHAVIORAL HEALTH LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.