Active NPI
Az Interact LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1760885347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- BH4514
- Legal business name
- AZ INTERACT LLC
- Practice address
- 2325 W Desperado Way
Phoenix, AZ 85085-5777 - Phone
- (602) 696-0488
- NPI assigned
- Sep 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Santana
- Title
- Administrator
- Phone
- (602) 636-0488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | BH4514 | AZ | Primary |
Addresses
Primary practice location
2325 W Desperado Way
Phoenix, AZ 85085-5777
Mailing address
2325 W Desperado Way
Phoenix, AZ 85085-5777
National Provider Directory
National Provider Directory- Tax ID family
- Az Interact
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1154781037
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1073319968
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glendale, AZ
- NPI 1427502947
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1518327493
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glendale, AZ
- NPI 1568947364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411689600000",
"number": "1760885347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 W DESPERADO WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850855777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 W DESPERADO WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850855777",
"telephone_number": "602-696-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ INTERACT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A",
"authorized_official_last_name": "SANTANA",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-636-0488"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "AZ",
"license": "BH4514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Az Hospice & Palliative Care Services Inc
- Az Hospice Care Inc
- Az Hospice Inc.
- Az Infectious Disease Specialists
- Az Institute of Spine and Sports Care, LTD
- Az Lavender Behavioral Health Services LLC
- Az Lice Removal LLC
- Az Massage Spa (Jesse James Body Wellness)
- Az Medical & Psychiatric Wellness Group
- Az Medical Equipments LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.