Empire Health and Therapy LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Phoenix, AZ
NPI 1891307328 · NPPES record last updated Aug 17, 2020
Key facts
- NPI
- 1891307328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- EMPIRE HEALTH AND THERAPY LLC
- Practice address
- 1730 W Lacewood PL
Phoenix, AZ 85045-0528 - Phone
- (480) 635-6712
- NPI assigned
- Aug 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Leloole Barika
- Title
- Admin
- Phone
- (480) 635-6712
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Leloole Sole Barika, F.N.P.
National Provider Directory
- Tax ID family
- Empire Health and Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
1730 W Lacewood PL
Phoenix, AZ 85045-0528
Mailing address
4150 S Santa Rita Way
Chandler, AZ 85249-5184
NPI Registry JSON
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597622400000",
"number": "1891307328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 S SANTA RITA WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852495184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W LACEWOOD PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850450528",
"telephone_number": "480-635-6712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE HEALTH AND THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A",
"authorized_official_last_name": "BARIKA",
"authorized_official_first_name": "LELOOLE",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "480-635-6712"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Empire Group Homes LLC
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All providers in Phoenix, AZ · Substance Abuse Rehabilitation Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.