NPIMap

Organization Active NPI

Emmarie Behavioral Home Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1801289178
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH4564 Issued in AZ
Legal business name
EMMARIE BEHAVIORAL HOME CARE
Practice address
3031 W Burgess LN
Phoenix, AZ 85041-6201
Phone
(602) 441-2561
Fax
(602) 374-8639
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. Emmanuel Ade Epie
Title
Owner
Phone
(602) 481-9789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH4564 AZ Primary

Addresses

Primary practice location

3031 W Burgess LN
Phoenix, AZ 85041-6201

Mailing address

1638 E Greenway Rd
Phoenix, AZ 85042-5788
Phone (602) 441-2561

National Provider Directory

National Provider Directory
Tax ID family
Emmarie Behavioral Home Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1801289178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425788",
            "telephone_number": "602-441-2561",
            "fax_number": "602-374-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W BURGESS LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416201",
            "telephone_number": "602-441-2561",
            "fax_number": "602-374-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMARIE BEHAVIORAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "EPIE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-481-9789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH4564",
            "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 Mar 11, 2015; 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.