HOFUNITY BEHAVIORAL HEALTH LLC
Dietitian, Registered

Address: 6902 S 21st Dr, Phoenix, AZ 85041-6563

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifiers

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

Associated Endpoints

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

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1497346837 Hofunity Behavioral Health LLC 6923 S 21st Dr, Phoenix, AZ 85041-6566 2021-01-28

Office Location

Street Address 6902 S 21ST DR
City PHOENIX
State AZ
Zip Code 85041-6563

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
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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City PHOENIX
Zip Code 85041

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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.