Chosen Behavioral Home, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CHOSEN BEHAVIORAL HOME, LLC

Practice address

15639 N Verde St
Surprise, AZ 85378-4168

Phone

(623) 248-4100

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Sab EdwardsNPI 1134803265

Title

Owner

Phone

(480) 241-6853

Specialties & licenses 4

Addresses

Other names 1

• CHOSEN BEHAVIORAL HOME Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sab Edwards, CNA

  • Community/Behavioral Health Agency
  • Surprise, AZ
  • NPI 1134803265
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1962181024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15639 N VERDE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853784168",
            "telephone_number": "480-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15639 N VERDE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853784168",
            "telephone_number": "623-248-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN BEHAVIORAL HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-241-6853"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOSEN BEHAVIORAL HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Grace Chera
• Austin Childs, MSN
• Chioma Hannah Chime
• Choose to Change
• Raushni Chopra, LPC
• Chrisol Care Home
• Janae Christensen
• Christian Care Surprise, Inc.
• Christian Family Care
• Angela Christian, LPC

• Mental Illness Community Based Residential Treatment Facility in Surprise, AZ
• Providers in Surprise, 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 25, 2024; 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.