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NEVAEH'S LLC NPI 1174858088


NPI Information

NPI: 1174858088
Provider Name: NEVAEH'S LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
403 W HARWELL RD
PHOENIX, AZ
ZIP 85041
Phone: (602) 441-3050
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NEVAEH'S LLC is a residential treatment facility emotionally disturbed children in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NEVAEH'S LLC NPI is 1174858088. The provider is registered as an organization entity type.

The provider's business location address is:

403 W HARWELL RD
PHOENIX, AZ
ZIP 85041-034
Phone: (602) 441-3050

The provider's authorized official is Dee'anna Marie Smallwood .
The authorized official title is Chief Administion Officer and has the following contact phone number (602) 413-4412.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH-3374ARIZONAYes

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: 11/14/2023

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