NPIMap

Organization Active NPI

Benchmark Valley LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1679030076
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BENCHMARK VALLEY LLC
Practice address
4522 W Branham LN
Laveen, AZ 85339-7315
Phone
(858) 386-6705
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Titus Kimani Mwangi
Title
Administrator
Phone
(858) 386-6705

Specialties & licenses 1

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

Addresses

Primary practice location

4522 W Branham LN
Laveen, AZ 85339-7315

Mailing address

5625 W Euclid Ave
Laveen, AZ 85339-5247
Phone (858) 386-6705

Other practice location 1

6928 W Carson Rd
Laveen, AZ 85339-7028
Phone (858) 386-6705 ext. 85838

Other identifiers 1

IdentifierTypeStateIssuer
BH5679OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Valley LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1679030076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 W EUCLID AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395247",
            "telephone_number": "858-386-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 W BRANHAM LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397315",
            "telephone_number": "858-386-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6928 W Carson Rd",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853397028",
            "country_code": "US",
            "telephone_number": "858-386-6705 x85838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENCHMARK VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "TITUS",
        "authorized_official_middle_name": "KIMANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-386-6705"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH5679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.