NPIMap

Organization Active NPI

Affinity Behavioral Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Goodyear, AZ
National Provider Identifier
1508423161
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AFFINITY BEHAVIORAL CARE, LLC
Practice address
16575 W Roosevelt St
Goodyear, AZ 85338-6192
Phone
(623) 594-9064
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Crawford Breedlove
Title
Authorized Official
Phone
(480) 840-1601

Specialties & licenses 1

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

Addresses

Primary practice location

16575 W Roosevelt St
Goodyear, AZ 85338-6192

Mailing address

5115 N Dysart Rd # 437
Litchfield Park, AZ 85340-3032
Phone (480) 840-1601

National Provider Directory

National Provider Directory
Tax ID family
Affinity Behavioral Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1508423161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N DYSART RD # 437",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403032",
            "telephone_number": "480-840-1601",
            "fax_number": "480-840-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16575 W ROOSEVELT ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386192",
            "telephone_number": "623-594-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "CRAWFORD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-840-1601"
    },
    "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 Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.