Provider Type Icon

BBC SCOTTSDALE LLC NPI 1396329157


NPI Information

NPI: 1396329157
Provider Name: BBC SCOTTSDALE LLC

Other Name: HOMES OF PERSONAL ENRICHMENT AND SOBRIETY SERVICES

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4444 W SHAW BUTTE DR
GLENDALE, AZ
ZIP 85304
Phone: (480) 660-5775
Get Directions

BBC SCOTTSDALE LLC is a community based residential treatment facility mental illness in Glendale, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BBC SCOTTSDALE LLC NPI is 1396329157. The provider is registered as an organization entity type.
The provider Other Name Is Homes Of Personal Enrichment And Sobriety Services.

The provider's business location address is:

4444 W SHAW BUTTE DR
GLENDALE, AZ
ZIP 85304-035
Phone: (480) 660-5775

The provider's authorized official is Kathleen Geor-zell Bynum .
The authorized official title is Executive Director and has the following contact phone number (602) 249-6674.

The enumeration date for this NPI number is 5/7/2021 and was last updated on 6/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.