The Heritage Behavioral Health Home Llc

LBN: The Heritage Behavioral Health Home Llc
The Heritage Behavioral Health Home Llc is an health care organization with primary practice located at 3927 W Rovey Ave , Phoenix AZ 85019-1633. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. The Heritage Behavioral Health Home Llc can be contacted via phone (602) 675-3975, or through Smith, Kristen via phone (973) 270-4676.

Contact Information

Primary practice address
3927 W Rovey Ave Phoenix AZ 85019-1633
Phone: (602) 675-3975
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kristen
Phone: (973) 270-4676

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1114536752
LBN Legal business name The Heritage Behavioral Health Home Llc
DBA Doing business as
Authorized official Smith, Kristen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2020
Last updated Aug 12th, 2020 - about 5 years 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 1114536752 NPPES
Arizona MEDICAID 00000000

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