Elba House

LBN: Ebony House Inc
Elba House is an health care organization with primary practice located at 8646 S 14Th St , Phoenix AZ 85042-7902. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Ebony House Inc can be contacted via phone (602) 243-5491, or through Jordan, Che via phone (602) 276-4288.

Contact Information

Primary practice address
8646 S 14Th St Phoenix AZ 85042-7902
Phone: (602) 243-5491
Fax: (602) 243-5486
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Che
Phone: (602) 276-4288

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH2371 Arizona

Profile Details

NPI number 1851455604
LBN Legal business name Ebony House Inc
DBA Doing business as Elba House
Authorized official Jordan, Che
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 26th, 2023 - about last year

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 1851455604 NPPES
Arizona Other 845604 AHCCCS NUMBER

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