Empire Behavioral LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPIRE BEHAVIORAL LLC

Practice address

6849 S Tackweed Way
Tucson, AZ 85756-5141

Phone

(480) 374-0799

NPI assigned

Jan 20, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roseline Mwara

Title

Owner

Phone

(480) 374-0799

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1750096913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W VIA DE PEDRO MIGUEL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850862133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 S TACKWEED WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565141",
            "telephone_number": "480-374-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MWARA",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-374-0799"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECT",
            "affiliation": "N",
            "address_1": "35612 N 34th Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850862263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.