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SOUTH MOUNTAIN HOLISTIC CARE
NPI 1770038564
Intermediate Care Facility, Mental Illness in Laveen, AZ

Active since August 22, 2016
3219 W OLNEY AVE, LAVEEN, AZ 85339(602) 565-5909 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Mountain Holistic Care NPPES

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

SOUTH MOUNTAIN HOLISTIC CARE (NPI 1770038564) is a healthcare organization registered as an intermediate care facility, mental illness in Laveen, Arizona and active in the NPI registry since August 2016. The organization lists Stephanie Lynn Brigham, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770038564
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameSOUTH MOUNTAIN HOLISTIC CARE
Location Address3219 W OLNEY AVELaveen, AZ 85339-1783
Mailing Address3219 W Olney AveLaveen, AZ 85339 · (602) 565-5909
Phone(602) 565-5909
Organization SubpartNo
Authorized OfficialStephanie Lynn BrighamExecutive Director · (602) 565-5909
Enumeration DateAugust 22, 2016
✔ NPI 1770038564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in AZ · BH4914
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
3219 W OLNEY AVE, Laveen, AZ 85339
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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 South Mountain Holistic Care's NPI number?

The NPI number for South Mountain Holistic Care is 1770038564. It was assigned to this organization in the NPPES registry on August 22, 2016.

Where is South Mountain Holistic Care located?

South Mountain Holistic Care is located at 3219 W Olney Ave, Laveen, AZ 85339. The listed phone number is (602) 565-5909.

What is South Mountain Holistic Care's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for South Mountain Holistic Care was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.