Ahwatukee Health Care, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AHWATUKEE HEALTH CARE, LLC

Doing business as

Ahwatukee Behavioral Health and Wellness

Practice address

16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559

Phone

(480) 272-8450

Fax

(480) 272-8307

NPI assigned

Nov 10, 2023

Last updated

Mar 19, 2025By 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

Jaime Bogovich

Title

Operations Manager

Phone

(518) 698-3757

Specialties & licenses 1

Addresses

Other names 1

• Ahwatukee Behavioral Health and Wellness Doing business as

Tax ID family

Ahwatukee Behavioral Health and Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ahwatukee Health Care, LLC

  dba Ahwatukee Behavioral Health and Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Surprise, AZ
  • NPI 1588494587
  NPD tax ID
• Ahwatukee Health Care, LLC

  dba Ahwatukee Behavioral Health and Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1588535199
  NPD tax ID

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1780458687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34225 N 27th Dr Ste 146",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850856090",
            "country_code": "US",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12691 W Smokey Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853783801",
            "country_code": "US",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AHWATUKEE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BOGOVICH",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "518-698-3757"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahwatukee Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ahwatukee Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahwatukee Family Physicians, P.C.
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• Ahwatukee Foothills Plastic Surgery PC
• Ahwatukee Health Care, LLC (Ahwatukee Health and Recovery)
• Ahwatukee Health Care, LLC (Ahwatukee Behavioral Health and Wellness)
• Ahwatukee Integrated Chiropractic, P.L.L.C. (Ahwatukee Integrated Health)
• Ahwatukee MC Care Properties, LLC (Hawthorn Court at Ahwatukee)
• Ahwatukee Orthodontic Associates Inc
• Ahwatukee Pediatrics, P.C.
• Ahwatukee Physical Therapy Inc (Ahwatukee Physical Therapy)

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.