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HEALVINE LLC
NPI 1396413720
Clinic/Center - Adult Mental Health in Tempe, AZ

Active since August 31, 2021
1204 E BASELINE RD STE 106, TEMPE, AZ 85283(877) 755-8040 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healvine Llc NPPES

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

HEALVINE LLC (NPI 1396413720) is a healthcare organization registered as an adult mental health in Tempe, Arizona and active in the NPI registry since August 2021. The organization maintains 2 additional practice locations and lists Mohamed Othman, Owner, as its authorized official.

NPPES Registry Identity

NPI1396413720
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEALVINE LLC
Location Address1204 E BASELINE RD STE 106Tempe, AZ 85283-1447
Mailing Address1204 E Baseline Rd Ste 106Tempe, AZ 85283-1447 · (877) 755-8040
Phone(877) 755-8040
Organization SubpartNo
Authorized OfficialMohamed OthmanOwner · (602) 815-3293
Enumeration DateAugust 31, 2021
Last NPPES UpdateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1396413720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1204 E BASELINE RD STE 106, Tempe, AZ 85283
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Secondary Practice Locations 2

Location 12138 E Broadway RdPhoenix, AZ 85040-2500 · Phone (602) 601-6655 · Fax (602) 601-6656
Location 29221 W MacKenzie DrPhoenix, AZ 85037-2047 · Phone (623) 440-4714

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOLYNN HAIR DESIGNZ, LLC.
Durable Medical Equipment & Medical Supplies
1204 E BASELINE RD STE 106
TEMPE, AZ 85283
Maricopa County (480) 992-0932
ISAAC C ANZALONE COTA/L
Occupational Therapy Assistant
1204 E BASELINE RD STE 106
TEMPE, AZ 85283
Maricopa County (520) 582-0142
ANGELIC HANDS HOMECARE SERVICE LLC
In Home Supportive Care
1204 E BASELINE RD STE 106
TEMPE, AZ 85283
Maricopa County (602) 704-5013
RAD ABA LLC
Behavior Analyst
1204 E BASELINE RD STE 106
TEMPE, AZ 85283
Maricopa County (480) 916-1574

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 Healvine LLC's NPI number?

The NPI number for Healvine LLC is 1396413720. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Healvine LLC located?

Healvine LLC is located at 1204 E Baseline Rd Ste 106, Tempe, AZ 85283. The listed phone number is (877) 755-8040.

What is Healvine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Healvine LLC was last updated on August 16, 2022. 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.