NPIMap

Organization Active NPI

Golden Cross Healthcare LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1780196832
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOLDEN CROSS HEALTHCARE LLC
Practice address
2420 W Echo LN
Phoenix, AZ 85021-4856
Phone
(602) 633-1289
Fax
(602) 633-1289
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Lucia Ajayi
Title
Manager
Phone
(240) 374-2292

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2420 W Echo LN
Phoenix, AZ 85021-4856

Mailing address

2420 W Echo LN
Phoenix, AZ 85021-4856
Phone (602) 633-1289

National Provider Directory

National Provider Directory
Tax ID family
Golden Cross Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1780196832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214856",
            "telephone_number": "602-633-1289",
            "fax_number": "602-633-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214856",
            "telephone_number": "602-633-1289",
            "fax_number": "602-633-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CROSS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-374-2292"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 4, 2019; 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.