OUR HOME OF UNITY LLC NPI 1962052712

NPI Information

NPI: 1962052712
Provider Name: OUR HOME OF UNITY LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
6616 S 48TH LN
LAVEEN, AZ
ZIP 85339
Phone: (503) 891-0610
Get Directions

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 1962052712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6616 S 48TH LN
LAVEEN, AZ
ZIP 85339-986
Phone: (503) 891-0610

The provider's authorized official is Tlahonte 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 9/13/2019 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	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	103K00000X	Behavior Analyst		No
5	106S00000X	Behavior Technician		No
6	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
7	172A00000X	Driver		No
8	172V00000X	Community Health Worker		No
9	251S00000X	Community/Behavioral Health		No
10	324500000X	Substance Abuse Rehabilitation Facility		No
11	374U00000X	Home Health Aide		No
12	320800000X	Community Based Residential Treatment Facility, Mental Illness		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	BH5738	OTHER	ARIZONA	AZ DEPT OF HEALTH
2	BH5953	OTHER	ARIZONA	AZ DEPT OF HEALTH
3	BH5904	OTHER	ARIZONA	AZ DEPT OF HEALTH
4	BH5550	OTHER	ARIZONA	AZ DEPT OF HEALTH
5	BH5731	OTHER	ARIZONA	AZ DEPT OF HEALTH
6	BH5954	OTHER	ARIZONA	AZ DEPT OF HEALTH
7	583548	MEDICAID	ARIZONA

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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