Ebony House Inc

LBN: Ebony House Inc
Ebony House Inc is an health care organization with primary practice located at 6222 13Th St Bldg Y , Phoenix AZ 85042. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Ebony House Inc can be contacted via phone (602) 276-4288, or through Jordan, Che via phone (602) 276-4528.

Contact Information

Primary practice address
6222 13Th St Bldg Y Phoenix AZ 85042
Phone: (602) 276-4288
Fax: (602) 232-2938
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Che
Phone: (602) 276-4528

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1710161419
LBN Legal business name Ebony House Inc
DBA Doing business as
Authorized official Jordan, Che
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Mar 28th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710161419 NPPES
Arizona MEDICAID 274629
Arizona Other 274629

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