AHWATUKEE HEALTH CARE, LLC
NPI 1780458687
Clinic/Center - Rehabilitation, Substance Use Disorder in Phoenix, AZ

NPI Status: Active since November 10, 2023

Contact Information

16515 S 40TH ST STE 119
PHOENIX, AZ
ZIP 85048
Phone: (480) 272-8450
Fax: (480) 272-8307

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 03D2313490
  • CLIA Cert. Type: Other - OUTPATIENT BEHAVIORAL HEA
  • CLIA Exp. Date: 10-31-2026

About AHWATUKEE HEALTH CARE, LLC

This page provides the complete NPI Profile along with additional information for Ahwatukee Health Care, Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1780458687 assigned on November 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jaime Bogovich (Operations Manager)

NPI
1780458687
Provider Legal Name
AHWATUKEE HEALTH CARE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
16515 S 40TH ST STE 119 PHOENIX, AZ 85048
Location Phone
(480) 272-8450
Location Fax
(480) 272-8307
Mailing Address
16515 S 40TH ST STE 119 PHOENIX, AZ 85048
Mailing Phone
(480) 272-8450
Mailing Fax
(480) 272-8307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2023
Last Update Date
03-19-2025
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Location Map

Secondary Locations

  • 12691 W Smokey Dr Ste 127
    Surprise, AZ 85378
    (480) 272-8450
  • 34225 N 27th Dr Ste 146
    Phoenix, AZ 85085
    (480) 272-8450

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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JAIME BOGOVICH

Authorized Official Title
OPERATIONS MANAGER
Authorized Official Phone
(518) 698-3757

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2313490
Facility Type
Other - OUTPATIENT BEHAVIORAL HEA
Certificate Effective Date
November 01, 2024
Certificate Expiration Date
October 31, 2026
Laboratory Director
KERRY MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ahwatukee Health Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1780458687, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 4 → 8 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 8 + 5 + 1 + 6 + 6 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1780458687.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor
16515 S 40TH ST STE 119
PHOENIX, AZ 85048
Nurse Practitioner (Psychiatric/Mental Health)
16515 S 40TH ST STE 119
PHOENIX, AZ 85048
Nurse Practitioner (Psychiatric/Mental Health)
16515 S 40TH ST STE 119
PHOENIX, AZ 85048
Internal Medicine
16515 S 40TH ST STE 119
PHOENIX, AZ 85048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780458687, enumerated as an "organization" on November 10, 2023.

The provider is located at 16515 S 40TH ST STE 119 PHOENIX, AZ 85048 and the phone number is (480) 272-8450.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.