2047 W KEIM MANAGEMENT LLC
NPI 1245882364
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since July 09, 2019

Contact Information

2047 W KEIM DR
PHOENIX, AZ
ZIP 85015
Phone: (602) 888-6779
Fax: (602) 429-8149

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  • Organization
  • Community Based Residential Treatment Fa...

About 2047 W KEIM MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for 2047 W Keim Management Llc, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1245882364 assigned on July 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. 2047 W Keim Management Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is James Guarjdo (Manager)

NPI
1245882364
Provider Name
2047 W KEIM MANAGEMENT LLC
Entity Type
Organization
Location Address
2047 W KEIM DR PHOENIX, AZ 85015
Location Phone
(602) 888-6779
Location Fax
(602) 429-8149
Mailing Address
14362 N FRANK LLOYD WRIGHT BLVD STE 1000 SCOTTSDALE, AZ 85260
Mailing Phone
(602) 888-6779
Mailing Fax
(602) 429-8149
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2019
Last Update Date
07-09-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3251B00000XAgencies

Case Management

 
4261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
53104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
6310500000XNursing & Custodial Care Facilities

Intermediate Care Facility, Mental Illness

 
7324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES GUARJDO

Authorized Official Title
MANAGER
Authorized Official Phone
(480) 384-0789

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245882364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851684312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 8 + 4 + 3 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1245882364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245882364, enumerated as an "organization" on July 09, 2019.

The provider is located at 2047 W KEIM DR PHOENIX, AZ 85015 and the phone number is (602) 888-6779.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.