NPIMap

Organization Active NPI

Emmarie Behavioral Home Care

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1578978409
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH-3103 Issued in AZ
Legal business name
EMMARIE BEHAVIORAL HOME CARE
Practice address
2926 W Wayland Dr
Phoenix, AZ 85041-4436
Phone
(602) 276-2204
Fax
(602) 268-1248
NPI assigned
Jun 30, 2014
Organization subpart
Yes
Parent organization
EMMARIE BEHAVIORAL HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mr. Emmanuel Ade Epie
Title
Owner
Phone
(602) 481-9789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH-3103 AZ Primary

Addresses

Primary practice location

2926 W Wayland Dr
Phoenix, AZ 85041-4436

Mailing address

1638 E Greenway Rd
Phoenix, AZ 85042-5788
Phone (602) 481-9789

National Provider Directory

National Provider Directory
Tax ID family
Emmarie Behavioral Home Care LLC5 organizations share this tax ID, including this one
Part of
Emmarie Behavioral Home Care LLC

Other organizations with this tax ID 4

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1578978409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425788",
            "telephone_number": "602-481-9789",
            "fax_number": "602-268-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 W WAYLAND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414436",
            "telephone_number": "602-276-2204",
            "fax_number": "602-268-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMARIE BEHAVIORAL HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMMARIE BEHAVIORAL HOME CARE",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "EPIE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-481-9789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-3103",
            "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 Jun 30, 2014; 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.