Active NPI
Hofunity Behavioral Health LLC
- Substance Abuse Rehabilitation Facility
- Laveen, AZ
National Provider Identifier
1699369538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- HOFUNITY BEHAVIORAL HEALTH LLC
- Practice address
- 4714 W St Kateri Dr
Laveen, AZ 85339-8200 - Phone
- (602) 799-2757
- Fax
- (480) 525-7974
- NPI assigned
- Feb 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tlahjonte Hopson, OWNER
- Title
- Administrator
- Phone
- (602) 799-2757
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Behavior Technician | 106S00000X | |||
| Registered Dietitian | 133V00000X | |||
| Registered Nurse | 163W00000X | |||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Driver | 172A00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4714 W St Kateri Dr
Laveen, AZ 85339-8200
Mailing address
7141 W Carter Rd
Laveen, AZ 85339-7059
Phone (602) 799-2757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH6634 | Other | AZ | AZ DEPT OF HEALTH |
| BH6635 | Other | AZ | AZ DEPT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlah.hopson@ourhomeofuinty.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Hofunity Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1497346837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1699369538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 W CARTER RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397059",
"telephone_number": "602-799-2757",
"fax_number": "480-525-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 W ST KATERI DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853398200",
"telephone_number": "602-799-2757",
"fax_number": "480-525-7974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOFUNITY BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-22",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "HOPSON",
"authorized_official_first_name": "TLAHJONTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-799-2757",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"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": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ DEPT OF HEALTH",
"identifier": "BH6634",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ DEPT OF HEALTH",
"identifier": "BH6635",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlah.hopson@ourhomeofuinty.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4714 W St Kateri Dr",
"city": "Laveen",
"state": "AZ",
"country_code": "US",
"postal_code": "853398200",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 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.