NPIMap

Organization Active NPI

Amanah Health, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1871205088
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMANAH HEALTH, LLC
Practice address
4616 N 51St Ave Ste 216
Phoenix, AZ 85031-1716
Phone
(602) 668-6118
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Rod Granberry III
Title
Ceo
Phone
(602) 668-6118

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4616 N 51St Ave Ste 216
Phoenix, AZ 85031-1716

Mailing address

4616 N 51St Ave Ste 216
Phoenix, AZ 85031-1716
Phone (602) 668-6118

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1871205088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "602-668-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "602-668-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANAH HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "GRANBERRY",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-668-6118",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "4616 N 51st Ave Ste 216",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850311716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 19, 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.

Verify at the official NPI Registry.