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MOSES ASSISTED LIVING LLC NPI 1598272825


NPI Information

NPI: 1598272825
Provider Name: MOSES ASSISTED LIVING LLC

Doing Business As: MOSES BEHAVIORAL CARE III

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
829 E CHIPMAN RD
PHOENIX, AZ
ZIP 85040
Phone: (602) 603-9474
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MOSES ASSISTED LIVING 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. MOSES ASSISTED LIVING LLC NPI is 1598272825. The provider is registered as an organization entity type.
The provider Is Doing Business As Moses Behavioral Care Iii.

The provider's business location address is:

829 E CHIPMAN RD
PHOENIX, AZ
ZIP 85040-504
Phone: (602) 603-9474
Fax: (602) 603-9474

The provider's authorized official is Steve Agboola .
The authorized official title is Administrator and has the following contact phone number (480) 589-6692.

The enumeration date for this NPI number is 1/9/2018 and was last updated on 3/5/2024.


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
1320800000XCommunity 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.