EBENEZER HOUSE I , LLC
NPI 1407426273
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ
NPI Status: Active since June 24, 2021
Contact Information
4055 N 77TH DR
PHOENIX, AZ
ZIP 85033
Phone: (623) 440-4404
Fax: (623) 777-0082
- Organization
- Residential Treatment Facility, Intellec...
About EBENEZER HOUSE I , LLC
This page provides the complete NPI Profile along with additional information for Ebenezer House I , Llc, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1407426273 assigned on June 2021. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Eric Nibizi (Ceo)
- NPI
- 1407426273
- Provider Name
- EBENEZER HOUSE I , LLC
- Entity Type
- Organization
- Location Address
- 4055 N 77TH DR PHOENIX, AZ 85033
- Location Phone
- (623) 440-4404
- Location Fax
- (623) 777-0082
- Mailing Address
- 11114 W COLLEGE DR PHOENIX, AZ 85037
- Mailing Phone
- (623) 440-4404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2021
- Last Update Date
- 06-24-2021
- Code Navigator
Location Map
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000 | MEDICAID (05) | AZ |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407426273, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PHOENIX, AZ 85033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407426273, enumerated as an "organization" on June 24, 2021.
The provider is located at 4055 N 77TH DR PHOENIX, AZ 85033 and the phone number is (623) 440-4404.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
