Organization Active NPI

Mave Care Behavioral Health LLC

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1376382515
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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

Updated by the provider on Dec 30, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.