Elpis House Behavioral Health, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ELPIS HOUSE BEHAVIORAL HEALTH, LLC

Doing business as

Elpis House Behavioral Health, LLC

Practice address

9636 W Trumbull Rd
Tolleson, AZ 85353-5729

Phone

(701) 426-3704

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

John Ndabunguye

Title

Chief Operations Officer

Phone

(701) 426-3704

Specialties & licenses 1

Addresses

Other names 1

• Elpis House Behavioral Health, LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1750038873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 W TRUMBULL RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535729",
            "telephone_number": "701-426-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 W TRUMBULL RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535729",
            "telephone_number": "701-426-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9636 W Trumbull Rd",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853535729",
            "country_code": "US",
            "telephone_number": "701-426-3704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELPIS HOUSE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "NDABUNGUYE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "701-426-3704"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "endpointDescription": "phoenix",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tolleosn",
            "address_1": "9636 W Trumbull Rd",
            "city": "Tolleson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853535729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elpis House Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.