PHOENIX RESIDENTIAL BEHAVIORAL HEALTH LLC
NPI 1669244760
Community/Behavioral Health in Avondale, AZ

Active since October 23, 2023
3555 N SAILBOAT LN, AVONDALE, AZ 85392(480) 977-9457 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Residential Behavioral Health Llc NPPES

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

PHOENIX RESIDENTIAL BEHAVIORAL HEALTH LLC (NPI 1669244760) is a healthcare organization registered as a community/behavioral health in Avondale, Arizona and active in the NPI registry since October 2023. The organization lists Usman Jawa Bundu, Director, as its authorized official.

NPPES Registry Identity

NPI1669244760
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX RESIDENTIAL BEHAVIORAL HEALTH LLC
Location Address3555 N SAILBOAT LNAvondale, AZ 85392-3620
Mailing Address3555 N Sailboat LnAvondale, AZ 85392-3620 · (480) 977-9457
Organization SubpartNo
Authorized OfficialUsman Jawa BunduDirector · (148) 097-7945
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
NPI 1669244760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3555 N SAILBOAT LN, Avondale, AZ 85392

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 Phoenix Residential Behavioral Health LLC's NPI number?

The NPI number for Phoenix Residential Behavioral Health LLC is 1669244760. It was assigned to this organization in the NPPES registry on October 23, 2023.

Where is Phoenix Residential Behavioral Health LLC located?

Phoenix Residential Behavioral Health LLC is located at 3555 N Sailboat Ln, Avondale, AZ 85392. The listed phone number is (480) 977-9457.

What is Phoenix Residential Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Residential Behavioral Health LLC was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.