EMPIRE GROUP HOMES LLC NPI 1275158719

NPI Information

NPI: 1275158719
Provider Name: EMPIRE GROUP HOMES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1629 W LACEWOOD PL
PHOENIX, AZ
ZIP 85045
Phone: (602) 430-3705
Get Directions

EMPIRE GROUP HOMES LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EMPIRE GROUP HOMES LLC NPI is 1275158719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1629 W LACEWOOD PL
PHOENIX, AZ
ZIP 85045-814
Phone: (602) 430-3705

The provider's authorized official is Amber R. Nasser .
The authorized official title is Owner and has the following contact phone number (602) 430-3705.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	103TP2701X	Psychologist	Group Psychotherapy	No
4	1041C0700X	Social Worker	Clinical	No
5	106H00000X	Marriage & Family Therapist		No
6	133N00000X	Nutritionist		No
7	133V00000X	Dietitian, Registered		No
8	163W00000X	Registered Nurse		No
9	163WC0400X	Registered Nurse	Case Management	No
10	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
11	164W00000X	Licensed Practical Nurse		No
12	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
13	374U00000X	Home Health Aide		No
14	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
15	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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