NPIMap

Organization Active NPI

Faith Group Angels, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Laveen, AZ
National Provider Identifier
1750014726
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
FAITH GROUP ANGELS, LLC
Practice address
5308 W Novak Way
Laveen, AZ 85339
Phone
(623) 218-8074
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Urejo Hassan Haji BareNPI 1922739663
Title
Owner
Phone
(623) 218-8074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5308 W Novak Way
Laveen, AZ 85339

Mailing address

5308 W Novak Way
Laveen, AZ 85339
Phone (623) 218-8074

Other identifiers 1

IdentifierTypeStateIssuer
1922739663OtherAZBEHAVIORAL HEALTH RESIDENTIAL FACILITY OPERATOR

Other names 1

  • Faith Group Angels Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UHB@faithgroupangels.onmicrosoft.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1750014726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W NOVAK WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "623-218-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W NOVAK WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "623-218-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH GROUP ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "HAJI BARE",
        "authorized_official_first_name": "UREJO",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-218-8074"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH RESIDENTIAL FACILITY OPERATOR",
            "identifier": "1922739663",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UHB@faithgroupangels.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "Business E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5308 W Novak Way",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Faith Group Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 6, 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.