FJCM BEHAVIORAL HEALTH CARE LLC
NPI 1487126686
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since December 28, 2018

Contact Information

2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042
Phone: (602) 643-5723
Fax: (602) 281-6742

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  • Community Based Residential Treatment Fa...

About FJCM BEHAVIORAL HEALTH CARE LLC

This page provides the complete NPI Profile along with additional information for Fjcm Behavioral Health Care 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 1487126686 assigned on December 2018. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Faustin Bulongo Kapelemba (Co-owner)

NPI
1487126686
Provider Name
FJCM BEHAVIORAL HEALTH CARE LLC
Entity Type
Organization
Location Address
2710 E VALENCIA DR PHOENIX, AZ 85042
Location Phone
(602) 643-5723
Location Fax
(602) 281-6742
Mailing Address
4730 W SAMANTHA WAY LAVEEN, AZ 85339
Mailing Phone
(602) 643-5723
Mailing Fax
(602) 281-6742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2018
Last Update Date
12-28-2018
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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

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)
1276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

FAUSTIN BULONGO KAPELEMBA

Authorized Official Title
CO-OWNER
Authorized Official Phone
(602) 643-5723

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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.
1487126686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241672212616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 2 + 2 + 1 + 2 + 6 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1487126686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

FJCM BEHAVIORAL HEALTHCARE

Substance Abuse Rehabilitation Facility

2710 E VALENCIA DR
PHOENIX, AZ
ZIP 85042

(602) 268-7024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487126686, enumerated as an "organization" on December 28, 2018.

The provider is located at 2710 E VALENCIA DR PHOENIX, AZ 85042 and the phone number is (602) 643-5723.

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