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ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC NPI 1548491350


NPI Information

NPI: 1548491350
Provider Name: ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC

Doing Business As: MENTUS GROUP

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4620 N 16TH ST
E-110
PHOENIX, AZ
ZIP 85016
Phone: (602) 264-2770
Get Directions

ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC NPI is 1548491350. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mentus Group.

The provider's business location address is:

4620 N 16TH ST
E-110
PHOENIX, AZ
ZIP 85016-121
Phone: (602) 264-2770
Fax: (866) 534-1701

The provider's authorized official is Daryl Craig Millar .
The authorized official title is Administrative Director and has the following contact phone number (602) 264-2770.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 7/29/2009.


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
1103TB0200XPsychologistCognitive & Behavioral3376ARIZONANo
2251S00000XCommunity/Behavioral HealthBH-3188ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z70288MEDICARE UPINARIZONA
2BH-3188OTHERARIZONAOBHL LICENSE
3703307MEDICAIDARIZONA

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

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