NPIMap

Organization Active NPI

My City Radius Community Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1790440915
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MY CITY RADIUS COMMUNITY HEALTH SERVICES
Practice address
46160 W Amsterdam Rd
Maricopa, AZ 85139-6957
Phone
(480) 651-6458
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Favor Chikelu
Title
Administrator
Phone
(480) 651-6458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

46160 W Amsterdam Rd
Maricopa, AZ 85139-6957

Mailing address

46160 W Amsterdam Rd
Maricopa, AZ 85139-6957
Phone (480) 651-6458

National Provider Directory

National Provider Directory
Tax ID family
My City Radius Community Health Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1790440915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46160 W AMSTERDAM RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396957",
            "telephone_number": "480-651-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46160 W AMSTERDAM RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396957",
            "telephone_number": "480-651-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CITY RADIUS COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "CHIKELU",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-651-6458"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.