NPIMap

Organization Active NPI

Destiny Behavioral Health Residential Care LLC 6

  • Mental Illness Community Based Residential Treatment Facility
  • Tolleson, AZ
National Provider Identifier
1427614429
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 6
Practice address
8755 W Pioneer Street
Tolleson, AZ 85353
Phone
(602) 384-8820
Fax
(623) 435-6566
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Mr. Funso Feyl Ogunla
Title
Director
Phone
(602) 384-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

8755 W Pioneer Street
Tolleson, AZ 85353

Mailing address

2911 S 87TH Drive
Tolleson, AZ 85353
Phone (602) 384-8820

National Provider Directory

National Provider Directory
Tax ID family
Destiny Behavioral Health Residential Care LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1427614429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 S 87TH DRIVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "85353",
            "telephone_number": "602-384-8820",
            "fax_number": "623-435-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 W PIONEER STREET",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "85353",
            "telephone_number": "602-384-8820",
            "fax_number": "623-435-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY BEHAVIORAL HEALTH RESIDENTIAL CARE LLC 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "OGUNLA",
        "authorized_official_first_name": "FUNSO",
        "authorized_official_middle_name": "FEYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-384-8820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.