Organization Active NPI

Yadeno Clean and Sober

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1760054340
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YADENO CLEAN AND SOBER
Practice address
2942 N 24TH St Ste 211
Phoenix, AZ 85016-7850
Phone
(623) 322-0730
Fax
(623) 374-4592
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Kashuna Hopkins
Title
Owner
Phone
(602) 214-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2942 N 24TH St Ste 211
Phoenix, AZ 85016-7850

Mailing address

2942 N 24TH St Ste 211
Phoenix, AZ 85016-7850
Phone (623) 322-0730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.yadenocleanandsober.com

National Provider Directory

National Provider Directory

Locations

2942 N 24th St
Ste 211
Phoenix, AZ 85016
Phone (623) 322-0730

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1760054340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167850",
            "telephone_number": "623-322-0730",
            "fax_number": "623-374-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167850",
            "telephone_number": "623-322-0730",
            "fax_number": "623-374-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADENO CLEAN AND SOBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "KASHUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-214-9980"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yadenocleanandsober.com",
            "affiliation": "N",
            "address_1": "2942 N 24th St Ste 211",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850167850",
            "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 Jul 14, 2021; 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.