HUDUMA HOUSE, LLC
NPI 1386102788
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since March 05, 2019
6221 W ILLINI ST, PHOENIX, AZ 85043(602) 516-9785 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Huduma House, Llc NPPES

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

HUDUMA HOUSE, LLC (NPI 1386102788) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since March 2019. The organization lists Robert K Koskei, Healthcare Manager, as its authorized official.

NPPES Registry Identity

NPI1386102788
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHUDUMA HOUSE, LLC
Location Address6221 W ILLINI STPhoenix, AZ 85043-1915
Mailing Address6221 W Illini StPhoenix, AZ 85043-1915 · (602) 516-9785
Organization SubpartNo
Authorized OfficialRobert K KoskeiHealthcare Manager · (602) 516-9785
Enumeration DateMarch 5, 2019
NPI 1386102788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

6221 W ILLINI ST, Phoenix, AZ 85043

Other Identifiers 1

OtherBH5656AZ · Arizona Department Of Health Services

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386102788, enumerated as an "organization" on March 05, 2019.

The provider is located at 6221 W ILLINI ST PHOENIX, AZ 85043 and the phone number is (602) 516-9785.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.