Sanctuary Behavioral Health LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SANCTUARY BEHAVIORAL HEALTH LLC

Practice address

9434 E Los Lagos Vista Ave
Mesa, AZ 85209-2274

Phone

(602) 549-2221

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Iman Bukhari

Title

Manager

Phone

(602) 549-2221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1770240269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S ALMA SCHOOL RD STE 309",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103039",
            "telephone_number": "602-549-2221",
            "fax_number": "480-361-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 E LOS LAGOS VISTA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092274",
            "telephone_number": "602-549-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-549-2221"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sanchez, LMSW
• Phillip Sanchez, PHARMD
• Vanessa Sanchez
• Viviana Sanchez
• Milagros Sancho
• Brian Sand, DPT
• Jacklyne Sandaldjian
• Blair James Sandall, DPM
• Ryan Scott Sandberg, OD
• Alvin Benjamin Sanders, D.C.

• Assisted Living Facility (Behavioral Disturbances) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.