EBONY HOUSE INC NPI 1851455604

NPI Information

  • NPI: 1851455604
  • Provider Name: EBONY HOUSE INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: ELBA HOUSE
  • CLIA Number: 03D1018440
  • Address: 8646 S 14TH ST
    PHOENIX, AZ
    ZIP 85042
  • Phone: (602) 243-5491

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NPI Details

EBONY HOUSE INC is a substance abuse rehabilitation facility in Phoenix, 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. EBONY HOUSE INC NPI is 1851455604. The provider is registered as an organization entity type.
The provider Other Name Is Elba House.

The provider's business location address is:

8646 S 14TH ST
PHOENIX, AZ
ZIP 85042-902
Phone: (602) 243-5491
Fax: (602) 243-5486

The provider's authorized official is Che Jordan .
The authorized official title is Ceo and has the following contact phone number (602) 276-4288.

The CLIA number assigned to this NPI record is 03D1018440 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/26/2023.

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 License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityBH2371ARIZONAYes

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
1845604OTHERARIZONAAHCCCS NUMBER

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: 11/21/2025

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