Active NPI
Talas Harbor at Buckeye, LLC
- Psychiatric Hospital
- Phoenix, AZ
National Provider Identifier
1992342265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- TALAS HARBOR AT BUCKEYE, LLC
- Practice address
- 1407 S 9TH Ave
Phoenix, AZ 85007-3904 - Phone
- (928) 299-5178
- NPI assigned
- Dec 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ron Stewart
- Title
- Ceo
- Phone
- (253) 241-4992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
1407 S 9TH Ave
Phoenix, AZ 85007-3904
Mailing address
1407 S 9TH Ave
Phoenix, AZ 85007-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 034039
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TALAS HARBOR AT BUCKEYE
- Certification status
- Terminated Voluntary: merger or closure, Dec 28, 2023
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Oct 21, 2021
- Last certification
- Aug 31, 2023
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Facility address
- 1407 South 9TH Avenue
Phoenix, AZ 85007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1992342265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 S 9TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 S 9TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073904",
"telephone_number": "928-299-5178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALAS HARBOR AT BUCKEYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-05",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-241-4992"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.