ANGEL HEART BEHAVIORAL HEALTH III LLC
NPI 1114552122
Psychiatric Residential Treatment Facility in Phoenix, AZ

Active since March 10, 2020
9223 W MEADOW BROOK, 9223 W MEADOW BROOK AVE, PHOENIX, AZ 85037(207) 409-6515 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angel Heart Behavioral Health Iii Llc NPPES

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

ANGEL HEART BEHAVIORAL HEALTH III LLC (NPI 1114552122) is a healthcare organization registered as a psychiatric residential treatment facility in Phoenix, Arizona and active in the NPI registry since March 2020. The organization lists Aimee Nyirakanyana, Program Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114552122
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameANGEL HEART BEHAVIORAL HEALTH III LLC
Location Address9223 W MEADOW BROOK, 9223 W MEADOW BROOK AVEPhoenix, AZ 85037-8503
Mailing Address9223 W Meadowbrook AvePhoenix, AZ 85037-2442 · (207) 409-6515
Organization SubpartNo
Authorized OfficialAimee NyirakanyanaProgram Operating Officer · (623) 777-0427
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
NPI 1114552122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
9223 W MEADOW BROOK, Phoenix, AZ 85037

Other Names 1

Doing Business AsAngel Heart Behavioral Health Iii Llc

Other Identifiers 2

Medicaid003AZ
Other0000AZ · No Other Identification Number Available

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 Angel Heart Behavioral Health III LLC's NPI number?

The NPI number for Angel Heart Behavioral Health III LLC is 1114552122. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Angel Heart Behavioral Health III LLC located?

Angel Heart Behavioral Health III LLC is located at 9223 W Meadow Brook 9223 W Meadow Brook Ave, Phoenix, AZ 85037. The listed phone number is (207) 409-6515.

What is Angel Heart Behavioral Health III LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Angel Heart Behavioral Health III LLC was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.