Semper Fidelis Behavioral Health Care, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SEMPER FIDELIS BEHAVIORAL HEALTH CARE, LLC

Practice address

8020 N 17TH Dr
Phoenix, AZ 85021-5217

Phone

(480) 430-5491

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Nasson Nathan

Title

Administration

Phone

(860) 308-3823

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Semper Fidelis Behavioral Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Semper Fidelis Behavioral Health Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1265057962
  NPD tax ID

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1891312542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N DUPONT CIR UNIT 337",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341847",
            "telephone_number": "480-430-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 N 17TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215217",
            "telephone_number": "480-430-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER FIDELIS BEHAVIORAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "NASSON",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "860-308-3823"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/",
            "affiliation": "N",
            "endpointDescription": "secured email used to relay information.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "phoenix",
            "address_1": "8020 N 17th Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850215217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Osha Rose Sempel, LMSW
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• Serenity Joy Semper
• Ashkan R Semyary, DMD
• Sena Home Care LLC
• Sena Home Care LLC
• Joanna Sena

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, 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 Jun 29, 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.