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EBONY HOUSE INC
NPI 1023170933
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since December 15, 2006CLIA 03D2157689 · Waiver
6218 S 13TH ST, PHOENIX, AZ 85042(602) 276-4288(602) 232-2938 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Ebony House Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY HOUSE INC (NPI 1023170933) is a healthcare organization registered as a substance abuse rehabilitation facility in Phoenix, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Che Jordan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023170933
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEBONY HOUSE INC
Location Address6218 S 13TH STPhoenix, AZ 85042-4408
Mailing Address6222 S 13th StPhoenix, AZ 85042-4408 · (602) 276-4288 · Fax (602) 232-2938
Phone(602) 276-4288
Fax(602) 232-2938
Organization SubpartNo
Authorized OfficialChe JordanCeo · (602) 276-4288
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1023170933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · BH076
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6218 S 13TH ST, Phoenix, AZ 85042
Open in Google Maps ↗

Other Identifiers 1

Other319790AZ · Ahcccs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2157689

Ebony House, Inc - Integrated Care · Phoenix, AZ
Active · expires Nov 8, 2026
CLIA Number03D2157689
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorWilliam Freeman
Laboratory Phone(602) 276-4288
Laboratory LocationEbony House, Inc - Integrated Care1616 E Indian School Road, Suite 250, Phoenix, AZ 85016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony House Inc's NPI number?

The NPI number for Ebony House Inc is 1023170933. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Ebony House Inc located?

Ebony House Inc is located at 6218 S 13th St, Phoenix, AZ 85042. The listed phone number is (602) 276-4288.

What is Ebony House Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Ebony House Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2157689) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ebony House Inc accept?

Health plans from Blue Cross Blue Shield of Arizona list Ebony House Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebony House Inc was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.