Individual provider Active NPI

David Daka

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1386311181
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
BH7120 Issued in AZ
Practice address
4516 N 93Rd Dr
Phoenix, AZ 85037-2391
Phone
(562) 583-6835
NPI assigned
Aug 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X BH7120 AZ Primary

Addresses

Primary practice location

4516 N 93Rd Dr
Phoenix, AZ 85037-2391

Mailing address

4516 N 93Rd Dr
Phoenix, AZ 85037-2391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH7120AZMDAssisted Living Facility (Behavioral Disturbances)

Practice roles

OrganizationSpecialtyStatusNew patients
Goodsteps Behavioral Home LLC Assisted Living, Behavioral Disturbances Current Accepting new patients
The Light Recovery and Wellness LLC Current Accepting new patients
Victoria Homecare Inc. Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1386311181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 N 93RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 N 93RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372391",
            "telephone_number": "562-583-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKA",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-01-04",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "BH7120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.