Provider Type Icon

AURORA BEHAVIORAL HEALTH SYSTEMS LLC NPI 1770506024


NPI Information

NPI: 1770506024
Provider Name: AURORA BEHAVIORAL HEALTH SYSTEMS, LLC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 03D1057158

Address:
6015 W PEORIA AVE
GLENDALE, AZ
ZIP 85302
Phone: (623) 344-4400
Get Directions

AURORA BEHAVIORAL HEALTH SYSTEMS, LLC is a psychiatric hospital in Glendale, AZ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. AURORA BEHAVIORAL HEALTH SYSTEMS, LLC NPI is 1770506024. The provider is registered as an organization entity type.

The provider's business location address is:

6015 W PEORIA AVE
GLENDALE, AZ
ZIP 85302-207
Phone: (623) 344-4400
Fax: (623) 344-4450

The provider's authorized official is Soon K Kim .
The authorized official title is Owner/authorized Official and has the following contact phone number (248) 905-5091.

The CLIA number assigned to this NPI record is 03D1057158 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 4/28/2017.


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
1283Q00000XPsychiatric HospitalL 12260916ARIZONAYes

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
1034024MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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.