One Care Arizona LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ONE CARE ARIZONA LLC

Practice address

4425 W Olive Ave Ste 167
Glendale, AZ 85302-3845

Phone

(240) 506-9577

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Matutu Makele Nyabange

Title

Owner

Phone

(240) 506-9577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1497459168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 W ANGUS RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435105",
            "telephone_number": "240-506-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE STE 167",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023845",
            "telephone_number": "240-506-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE CARE ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "NYABANGE",
        "authorized_official_first_name": "MATUTU",
        "authorized_official_middle_name": "MAKELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-506-9577"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.