NPIMap

Organization Active NPI

CDH Foundation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1548544463
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
322D00000X Issued in AZ
Legal business name
CDH FOUNDATION
Practice address
4017 E la Puente Ave
Phoenix, AZ 85044-1339
Phone
(602) 487-8280
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Carlos Howard
Title
Director
Phone
(602) 487-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 322D00000X AZ Primary

Addresses

Primary practice location

4017 E la Puente Ave
Phoenix, AZ 85044-1339

Mailing address

4017 E la Puente Ave
Phoenix, AZ 85044-1339

National Provider Directory

National Provider Directory
Tax ID family
CDH Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1548544463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 E LA PUENTE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 E LA PUENTE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441339",
            "telephone_number": "602-487-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-487-8280"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.