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OUR HOME OF UNITY LLC NPI 1942784285


NPI Information

NPI: 1942784285
Provider Name: OUR HOME OF UNITY LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
7019 S 77TH LN
LAVEEN, AZ
ZIP 85339
Phone: (602) 761-2860
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OUR HOME OF UNITY LLC is a community based residential treatment facility mental illness in Laveen, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. OUR HOME OF UNITY LLC NPI is 1942784285. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7019 S 77TH LN
LAVEEN, AZ
ZIP 85339-231
Phone: (602) 761-2860

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

The enumeration date for this NPI number is 9/22/2018 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2172A00000XDriverNo
3172V00000XCommunity Health WorkerNo
4207Q00000XFamily MedicineNo
5251S00000XCommunity/Behavioral HealthNo
6324500000XSubstance Abuse Rehabilitation FacilityNo
7374U00000XHome Health AideNo
8101Y00000XCounselorNo
9101YA0400XCounselorAddiction (Substance Use Disorder)No
10103K00000XBehavior AnalystNo
11106E00000XAssistant Behavior AnalystNo
12106S00000XBehavior TechnicianNo
13163W00000XRegistered NurseNo
14163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
15320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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
1BH5954OTHERARIZONAAZ DEPT OF HEALTH
2BH5731OTHERARIZONASTATE OF ARIZONA DEPARTMENT OF HEALTH
3BH5550OTHERARIZONASTATE OF ARIZONA DEPARTMENT OF HEALTH
4BH5738OTHERARIZONASTATE OF ARIZONA DEPARTMENT OF HEALTH
5444686MEDICAIDARIZONA
6BH5904OTHERARIZONAAZ DEPT OF HEALTH
7BH5953OTHERARIZONAAZ 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: 11/14/2023

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.