SUN STATE BEHAVIORAL, LLC
NPI 1619649845
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Phoenix, AZ

Q: What is Sun State Behavioral, LLC's NPI number?

The NPI number for Sun State Behavioral, LLC is 1619649845. It was assigned to this organization in the NPPES registry on October 5, 2021.

Q: What is Sun State Behavioral, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since October 05, 2021

9525 W MINNEZONA AVE, PHOENIX, AZ 85037(623) 872-5454 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sun State Behavioral, Llc NPPES

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

SUN STATE BEHAVIORAL, LLC (NPI 1619649845) is a healthcare organization registered as an assisted living, behavioral disturbances in Phoenix, Arizona and active in the NPI registry since October 2021. The organization lists Justin Mabany, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619649845

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameSUN STATE BEHAVIORAL, LLC

Location Address9525 W MINNEZONA AVEPhoenix, AZ 85037-1349

Mailing Address9525 W Minnezona AvePhoenix, AZ 85037-1349 · (623) 872-5454

Phone(623) 872-5454

Organization SubpartNo

Authorized OfficialJustin MabanyChief Executive Officer · (602) 384-0669

Enumeration DateOctober 5, 2021

NPPES CertifiedOctober 5, 2021

✔ NPI 1619649845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

9525 W MINNEZONA AVE, Phoenix, AZ 85037

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Other Providers at the Same Location NPPES

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

JUSTIN MABANY

Assisted Living Facility (Assisted Living, Behavioral Disturbances)

9525 W MINNEZONA AVE
PHOENIX, AZ 85037

Maricopa County (623) 872-5454

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 Sun State Behavioral, LLC's NPI number?

The NPI number for Sun State Behavioral, LLC is 1619649845. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Sun State Behavioral, LLC located?

Sun State Behavioral, LLC is located at 9525 W Minnezona Ave, Phoenix, AZ 85037. The listed phone number is (623) 872-5454.

What is Sun State Behavioral, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Sun State Behavioral, LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.