Barikuura Vitality Behavioral Home LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BARIKUURA VITALITY BEHAVIORAL HOME LLC

Practice address

12638 W Superior Ave
Avondale, AZ 85323-9631

Phone

(623) 932-9425

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Letor Kpee, BACHELOR IN ENGLISH

Title

The Administrator

Phone

(623) 570-1308

Specialties & licenses 1

Addresses

Other names 1

• Barikuura Vitality Behavioral Home LLC Former legal business name

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1750077848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12638 W SUPERIOR AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239631",
            "telephone_number": "623-932-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12638 W SUPERIOR AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239631",
            "telephone_number": "623-932-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIKUURA VITALITY BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KPEE",
        "authorized_official_first_name": "LETOR",
        "authorized_official_title_or_position": "THE ADMINISTRATOR",
        "authorized_official_telephone_number": "623-570-1308",
        "authorized_official_credential": "BACHELOR IN ENGLISH"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barikuura Vitality Behavioral Home LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.