Active NPI
Graceview Behavioral Health LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1790427037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- GRACEVIEW BEHAVIORAL HEALTH LLC
- Practice address
- 9531 S 16TH Dr
Phoenix, AZ 85041-5631 - Phone
- (480) 206-8584
- Fax
- (602) 680-3323
- NPI assigned
- Apr 8, 2022
- Last updated
- Apr 8, 2022
- 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
- Patricia Muthoni
- Title
- Administrator
- Phone
- (480) 206-8584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
9531 S 16TH Dr
Phoenix, AZ 85041-5631
Mailing address
3909 W Wood Dr
Phoenix, AZ 85029-1952
Phone (480) 206-8584
National Provider Directory
National Provider Directory- Tax ID family
- Graceview Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1861152688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1790427037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 W WOOD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850291952",
"telephone_number": "480-206-8584",
"fax_number": "602-680-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9531 S 16TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415631",
"telephone_number": "480-206-8584",
"fax_number": "602-680-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEVIEW BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "MUTHONI",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-206-8584"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.