Ashu Lineage Behavioral Health

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ASHU LINEAGE BEHAVIORAL HEALTH

Practice address

9423 W Virginia Ave
Phoenix, AZ 85037-4316

Phone

(480) 409-8245

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

John Etu Mukoko, DCWNPI 1932950672

Title

Owner/President

Phone

(480) 409-8245

Specialties & licenses 2

Addresses

Other names 1

• Ashu Lineage Behavioral Health Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mukoko

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1932950672
  NPD Authorized official

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1508617051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9423 W VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374316",
            "telephone_number": "480-409-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9423 W VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374316",
            "telephone_number": "480-409-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHU LINEAGE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "MUKOKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ETU",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-409-8245",
        "authorized_official_credential": "DCW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashu Lineage Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher Troy Ashment, PHARM.D.
• Zoha Ashraf, M.D.
• Marjan Ashtiani, FNP
• Mehrdad Hazrati Ashtiani, DDS
• Ashton Dykert MD PC
• Sara Ashurst, M.D.
• Ashwin R Patel MD P L L C
• Chelsey Asiala, PT, DPT
• Roya Nicole Asin, DMD
• Ali A Askari, MD

• Non-emergency Medical Transport (VAN) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.