NPIMap

Organization Active NPI

Arizona Behavioral Care Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Goodyear, AZ
National Provider Identifier
1659719995
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
BH427- Issued in AZ
Legal business name
ARIZONA BEHAVIORAL CARE HOMES
Practice address
560 N 159TH LN
Goodyear, AZ 85338-3276
Phone
(602) 904-2772
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. Eric Devon Sims Sr.
Title
Ceo
Phone
(602) 904-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X BH427- AZ Primary

Addresses

Primary practice location

560 N 159TH LN
Goodyear, AZ 85338-3276

Mailing address

560 N 159TH Lane
Goodyear, AZ 85338

National Provider Directory

National Provider Directory
Tax ID family
Arizona Bahvioral Care Homes Management Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1659719995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N 159TH LANE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N 159TH LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383276",
            "telephone_number": "602-904-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIORAL CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-904-2772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH427-",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.