OUR HOME OF UNITY LLC NPI 1275196149

NPI Information

NPI: 1275196149
Provider Name: OUR HOME OF UNITY LLC

Other Name: OUR HOME OF UNITY LLC-2

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
8709 S 47TH LN
LAVEEN, AZ
ZIP 85339
Phone: (602) 368-3949
Get Directions

OUR HOME OF UNITY LLC is a substance abuse rehabilitation facility in Laveen, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. OUR HOME OF UNITY LLC NPI is 1275196149. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Our Home Of Unity Llc-2.

The provider's business location address is:

8709 S 47TH LN
LAVEEN, AZ
ZIP 85339-179
Phone: (602) 368-3949
Fax: (888) 753-0530

The provider's authorized official is Tlahjonte Hopson .
The authorized official title is Administrator and has the following contact phone number (602) 799-2757.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 10/7/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103K00000X	Behavior Analyst		No
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
4	104100000X	Social Worker		No
5	106E00000X	Assistant Behavior Analyst		No
6	106S00000X	Behavior Technician		No
7	163W00000X	Registered Nurse		No
8	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
9	171M00000X	Case Manager/Care Coordinator		No
10	172A00000X	Driver		No
11	251B00000X	Case Management		No
12	251S00000X	Community/Behavioral Health		No
13	253Z00000X	In Home Supportive Care		No
14	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
15	324500000X	Substance Abuse Rehabilitation Facility		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH5550	OTHER	ARIZONA	ARIZONA DEPARTMENT OF HEALTH
2	BH5738	OTHER	ARIZONA	AZ DEPT OF HEALTH
3	444686	OTHER	ARIZONA	AHCCCS
4	BH5731	OTHER	ARIZONA	AZ DEPT OF HEALTH
5	BH5904	OTHER	ARIZONA	AZ DEPT OF HEALTH
6	BH5954	OTHER	ARIZONA	AZ DEPT OF HEALTH

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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