Organization Active NPI

Khan Care International

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1801499157
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KHAN CARE INTERNATIONAL
Practice address
403 E Milada Dr
Phoenix, AZ 85042-7676
Phone
(602) 633-5573
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Mohammed Isa Khan
Title
Owner
Phone
(602) 633-5573

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Substance Abuse Rehabilitation Facility 324500000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X
Respite Care 385H00000X

Addresses

Primary practice location

403 E Milada Dr
Phoenix, AZ 85042-7676

Mailing address

PO Box 90014
Phoenix, AZ 85066-0014
Phone (602) 633-5573

Other names 1

  • Sunset at South Mountain Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1801499157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850660014",
            "telephone_number": "602-633-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MILADA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427676",
            "telephone_number": "602-633-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN CARE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-633-5573"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset at South Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2020; 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.