HOFUNITY BEHAVIORAL HEALTH LLC
Counselor

Address: 6923 S 21st Dr, Phoenix, AZ 85041-6566

HOFUNITY BEHAVIORAL HEALTH LLC (NPI# 1497346837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497346837
Entity Type Organization
Organization Name HOFUNITY BEHAVIORAL HEALTH LLC
Practice Address 6923 S 21st Dr
Phoenix
AZ 85041-6566
Practice Telephone 6027992757
Practice Fax Number 8887530530
Mailing Address 7141 W Carter Rd
Laveen
AZ 85339-7059
Mailing Telephone 6027992757
Mailing Fax Number 4805257974
Certification Date 2021-02-03
Enumeration Date 2021-01-28
Last Update Date 2021-02-03
Authorized Official Telephone 6027992757
Authorized Official Credential OWNER, BHT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 103K00000X Behavior Analyst 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Nursing Service Providers
N 172A00000X Driver 193200000X MULTI-SPECIALTY GROUP Other Service Providers
N 172V00000X Community Health Worker 193200000X MULTI-SPECIALTY GROUP Other Service Providers
N 251S00000X Community/Behavioral Health Agencies
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
N 374U00000X Home Health Aide 193200000X MULTI-SPECIALTY GROUP Nursing Service Related Providers
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ AZ DEPT OF HEALTH BH6635 Other
AZ AZ DEPT OF HEALTH BH6634 Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address tlah.hopson@ourhomeofunity.com (Administrator Secure Email address) 6923 S 21st Dr, Phoenix, AZ 850416566 Direct CSV

Office Location

Street Address 6923 S 21ST DR
City PHOENIX
State AZ
Zip Code 85041-6566

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306437553 Laveen Sunsets Residential Homes LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3001 W Donner Dr, Phoenix, AZ 85041 2021-01-31
1558915843 Our Home of Unity LLC Counselor · Addiction (Substance Use Disorder) 6804 S 21st Dr, Phoenix, AZ 85041 2019-07-25
1447816590 Mbong Jerry Ngwese Physical Therapist · Sports 2546 West Bloch Rd, Phoenix, AZ 85041 2019-05-14
1588228373 Arizona Dental Management Dentist · General Practice 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 2019-04-26
1447780135 Mesa Dental Arizona LLC · Southern Dental Dentist 3320 W Southern Ave #111, Phoenix, AZ 85041 2017-06-14
1932564697 Job Elliott Counselor 4105 W Saint Charles Ave, Phoenix, AZ 85041 2015-12-23
1376914739 Black Family and Child Services Inc Community/Behavioral Health 6811 West 33rd Ave, Phoenix, AZ 85041 2015-10-12
1972900983 Love Living Life Assisted Living Facility 5737 S. 34th Ave, Phoenix, AZ 85041 2014-11-20
1891114641 Maricopa County Special Health Care District · Valleywise Health General Acute Care Hospital 5650 S 35th Ave, Phoenix, AZ 85041 2014-04-09
1265616213 Southern Dental Dentist 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 2007-12-27
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093306409 Joint Healing Operations Alpha House LLC 31 E Vernon Ave, Phoenix, AZ 85004-1338 2021-01-28
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1912594748 Empire Health Groups 2142 E Aire Libre Ave, Phoenix, AZ 85022-2993 2020-12-28
1144817214 House of Love Residential Facility LLC 4138 E Nighthawk Way, Phoenix, AZ 85048-0556 2020-12-23
1437746724 Rugabirwa Heri Ruhorimbere 2840 W Lamar Rd, Phoenix, AZ 85017-1263 2020-12-21
1427645779 Falcons Care LLC 2205 W Dunbar Dr, Phoenix, AZ 85041-6699 2020-12-21
1346836426 House of Love & Peace LLC 9131 W Minnezona Ave, Phoenix, AZ 85037-2446 2020-12-14
1154926541 Azbh Services LLC 5224 S 22nd Way, Phoenix, AZ 85040-3401 2020-12-02
1437754850 Ascend Behavioral Health and Wellness,Llc 3418 W Little Hopi Dr, Phoenix, AZ 85086-2272 2020-12-02
1265036891 Santiago Home 1619 E Chanute Pass, Phoenix, AZ 85040-3340 2020-11-24
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Competitor

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City PHOENIX
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.