Kaze Behavioral Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KAZE BEHAVIORAL HOME LLC

Practice address

9126 W Vernon Ave
Phoenix, AZ 85037-4242

Phone

(520) 270-0622

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia Kaneza

Title

Administrator

Phone

(520) 270-0622

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kaze Behavioral Home 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.

• Kaze Behavioral Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1164176145
  NPD tax ID

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1386351732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374242",
            "telephone_number": "520-270-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374242",
            "telephone_number": "520-270-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZE BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "KANEZA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-270-0622"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH8021",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kays, DPT
• Ruslan Kazak, DC
• Natalia Kazakova, MS, PSYD
• Lena Kazaryan, BCBA
• Kaze Behavioral Home LLC
• Austin Kazel
• Massoumeh S. Kazemi, LPC, LISAC
• Michelle Kazmier
• Kyle Kazukynas, OTR/L
• KC Surgical Services, LLC

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.