Organization Active NPI

Love Behavioural Services

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1548910359
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LOVE BEHAVIOURAL SERVICES
Practice address
7715 S. 23Rd Lane
Phoenix, AZ 85041
Phone
(623) 521-5935
Fax
(602) 441-4838
NPI assigned
Mar 25, 2022
Organization subpart
Yes
Parent organization
LOVE BEHAVIDURAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mrs. Olufemi Omodara, RPH
Title
Owner
Phone
(623) 521-5935

Specialties & licenses 1

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

Addresses

Primary practice location

7715 S. 23Rd Lane
Phoenix, AZ 85041

Mailing address

P.O. Box 5693
Goodyear, AZ 85338
Phone (623) 521-5935

National Provider Directory

National Provider Directory
Tax ID family
Love Behavioural Services LLC3 organizations share this tax ID, including this one
Part of
Love Behavioural Services LLC

Other organizations with this tax ID 2

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1548910359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5693",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-521-5935",
            "fax_number": "602-441-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 S. 23RD LANE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85041",
            "telephone_number": "623-521-5935",
            "fax_number": "602-441-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE BEHAVIOURAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVE BEHAVIDURAL SERVICES",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "OMODARA",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-5935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "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 Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.