Splendor Behavioral Residency LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SPLENDOR BEHAVIORAL RESIDENCY LLC

Practice address

43842 W Elizabeth Ave
Maricopa, AZ 85138-5673

Phone

(713) 291-1836

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Kasarachi Darlyn Emedoro, B.S

Title

Manager/Owner

Phone

(713) 291-1836

Specialties & licenses 3

Addresses

Other names 1

• Splendor Behavioral Residency LLC Doing business as

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1619634458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43842 W ELIZABETH AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385673",
            "telephone_number": "713-291-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43842 W ELIZABETH AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385673",
            "telephone_number": "713-291-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLENDOR BEHAVIORAL RESIDENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "EMEDORO",
        "authorized_official_first_name": "KASARACHI",
        "authorized_official_middle_name": "DARLYN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "713-291-1836",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Splendor Behavioral Residency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Splendor Behavioral Residency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.