Organization Active NPI

Eva Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1710637772
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EVA HOMES LLC
Practice address
6342 W Raymond St
Phoenix, AZ 85043-0134
Phone
(520) 332-3769
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Eva Nisabwe
Title
Ceo/Owner
Phone
(520) 409-6347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

6342 W Raymond St
Phoenix, AZ 85043-0134

Mailing address

6342 W Raymond St
Phoenix, AZ 85043-0134
Phone (520) 332-3769

Other identifiers 1

IdentifierTypeStateIssuer
BH7445OtherAZAZDHS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DIRECTMESSAGE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1710637772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 W RAYMOND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850430134",
            "telephone_number": "520-332-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 W RAYMOND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850430134",
            "telephone_number": "520-332-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "NISABWE",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "520-409-6347"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH7445",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DIRECTMESSAGE",
            "affiliation": "N",
            "address_1": "6342 W Raymond St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850430134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 24, 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.

Verify at the official NPI Registry.