The Family House Behavioral Services LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE FAMILY HOUSE BEHAVIORAL SERVICES LLC

Practice address

1323 S 173Rd LN
Goodyear, AZ 85338-1949

Phone

(207) 482-9832

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Victor Mugabo

Title

Ceo

Phone

(207) 482-9832

Specialties & licenses 1

Addresses

Tax ID family

The Family House LLC3 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.

• The Family House, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Laveen, AZ
  • NPI 1285363416
  NPD tax ID
• The Family House, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1891320271
  NPD tax ID

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1821788399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392270",
            "telephone_number": "207-482-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 S 173RD LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381949",
            "telephone_number": "207-482-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY HOUSE BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MUGABO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-482-9832"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minkeale Tedla, PA-C
• Shirley Lorraine Temple, MSN-FNP
• Kurt James Tengberg, PA
• Melinda Tenorio, P.T.
• Terracotta Behavioral Health, PLLC
• The Floss DRS, LLC
• The Sheridan Communication Group, L.L.C.
• The VHS Arizona Imaging Centers Limited Partnership
• The Watkins Home
• Nicole Thiers, PT, DPT

• Mental Illness Community Based Residential Treatment Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.