HOFUNITY BEHAVIORAL HEALTH LLC (NPI# 1699369538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699369538 |
| Entity Type | Organization |
| Organization Name | HOFUNITY BEHAVIORAL HEALTH LLC |
| Practice Address | 6902 S 21st Dr Phoenix AZ 85041-6563 |
| Practice Telephone | 6027992757 |
| Practice Fax Number | 4805257974 |
| Mailing Address | 7141 W Carter Rd Laveen AZ 85339-7059 |
| Mailing Telephone | 6027992757 |
| Mailing Fax Number | 4805257974 |
| Certification Date | 2021-02-22 |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |
| Authorized Official Telephone | 6027992757 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 193200000X MULTI-SPECIALTY GROUP | Dietary & Nutritional Service Providers | ||
| 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 | 103TA0400X | Psychologist Specialization: Addiction (Substance Use Disorder) | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | 193200000X MULTI-SPECIALTY GROUP | Nursing 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 | 251S00000X | Community/Behavioral Health | Agencies | |||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | |||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| BH6634 | AZ | AZ DEPT OF HEALTH | Other |
| BH6635 | AZ | AZ DEPT OF HEALTH | Other |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | tlah.hopson@ourhomeofunity.com (Administrator secure email address) | 6902 S 21st Dr, Phoenix, AZ 850416563 | Direct | CSV |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497346837 | Hofunity Behavioral Health LLC | 6923 S 21st Dr, Phoenix, AZ 85041-6566 | 2021-01-28 |
| Street Address | 6902 S 21ST DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6563 |
| 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 |
| 1750906277 | Maricopa County Special Heallth Care District | Pharmacy | 5650 S 35th Ave, Phoenix, AZ 85041 | 2020-06-10 |
| 1932739737 | Dunker Enterprise LLC | Counselor | 2030 West Baseline Road Suite 182a #202, Phoenix, AZ 85041 | 2020-01-21 |
| 1558915843 | Our Home of Unity LLC | Counselor · Addiction (Substance Use Disorder) | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1255999819 | Jesa Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-30 |
| 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 |
| 1962952994 | Donyaila Marie Echols | Pharmacist | 3434 W Southern Ave, Phoenix, AZ 85041 | 2016-10-13 |
| 1932564697 | Job Elliott | Counselor · Addiction (Substance Use Disorder) | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114510294 | Ambar Yudell · Amber Yudell | 3478 E Ludlow Dr, Phoenix, AZ 85032-5325 | 2021-02-18 | |
| 1851982938 | Cayla Waxman | 150 North 18th Avenue Suite 330, Phoenix, AZ 85007 | 2021-02-01 | |
| 1134710197 | Amanda Lynn Bennetch | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2021-02-01 | |
| 1538750864 | Brittany Ann Howard · Brittany Ann Klein | 150 N 18th Ave Ste 310, Phoenix, AZ 85007-3242 | 2021-01-29 | |
| 1154912590 | Bragg Nutrition LLC | 4600 N 24th St Unit 209, Phoenix, AZ 85016-5369 | 2021-01-28 | |
| 1700477130 | Jennifer Bragg | 4600 N 24th St Unit 209, Phoenix, AZ 85016-5369 | 2021-01-28 | |
| 1972193464 | Stephanie Joanne Burhop | 1908 E Daley Ln, Phoenix, AZ 85024-2469 | 2021-01-19 | |
| 1336741214 | Stacy Dawn Davison | 9150 W Indian School Rd Ste 131, Phoenix, AZ 85037-2388 | 2020-11-15 | |
| 1912507609 | Kelsey Arndt | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-30 | |
| 1790385938 | Kylee Makenna Forden | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255466652 | Guilford County Department of Public Health · Gcdph Behavioral Health | Community/Behavioral Health | 501 E Green Dr, Behavioral Health Services, High Point, NC 27260-6707 | 2007-02-23 |
| 1821450735 | University of Utah Pediatric Behavioral Health Services · Pediatric Behavioral Health Outpatient Svcs - Redwood Health Center | Clinic/Center · Adult Mental Health | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2016-03-22 |
| 1972768661 | Carolinas Medical Center · Atrium Health Behavioral Health Partial Hospitalization | Community/Behavioral Health | 501 Billingsley Road, Chs Behavioral Health Charlotte Administration, Charlotte, NC 28211-1009 | 2008-07-23 |
| 1225067481 | Northeast Health Services, LLC · (dba): Attleboro Behavioral Health Center/Cape Behavioral Health Cente | Clinic/Center · Mental Health (Including Community Mental Health Center) | 30 Taunton Green, Suite 5, Taunton, MA 02780-3243 | 2006-07-01 |
| 1568006633 | Cumberland Behavioral Health, LLC · Ascension Saint Thomas Behavioral Health Hospital | Clinic/Center · Mental Health (Including Community Mental Health Center) | 300 Great Circle Rd, Nashville, TN 37228-1752 | 2019-11-01 |
| 1598280364 | Pacific Northwest Behavioral Health Services, Pllc · Ohana Behavioral Health | Counselor · Professional | 22500 Se 64th Pl Ste G-150, Issaquah, WA 98027-8111 | 2017-08-13 |
| 1740600709 | Premier Behavioral Health Solutions of Florida, Inc · Suncoast Behavioral Health Center | Psychiatry & Neurology · Psychiatry | 4480 51st St W, Bradenton, FL 34210-2855 | 2014-04-17 |
| 1740250703 | Circlepark Behavioral Health Serices | Residential Treatment Facility, Emotionally Disturbed Children | 601 Gregg Avenue, Circle Park Behavioral Health Services, Florence, SC 29502-6196 | 2006-01-24 |
| 1477913697 | Behavioral Health Services of New Mexico LLC · Central Desert Behavioral Health Center | Psychiatry & Neurology · Psychiatry | 1525 N Renaissance Blvd Ne, Albuquerque, NM 87102-6827 | 2016-03-01 |
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. · Arthur Center Behavioral Health | Psychiatry & Neurology · Child & Adolescent Psychiatry | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
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| 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.