SANKOFA LLC
Clinic/Center (Adult Mental Health)

Address: 1761 E Chambers St, Phoenix, AZ 85040-3322

SANKOFA LLC (NPI# 1730778945) 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) 1730778945
Entity Type Organization
Organization Name SANKOFA LLC
Practice Address 1761 E Chambers St
Phoenix
AZ 85040-3322
Practice Telephone 6233260617
Mailing Address 13720 N 88th Ave Apt 2078
Peoria
AZ 85381-3812
Certification Date 2021-01-12
Enumeration Date 2021-01-12
Last Update Date 2021-01-12
Authorized Official Telephone 6233260617
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL sankofaresidential1761.com (web) 1761 E Chambers St, Phoenix, AZ 850403322 Direct CSV

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1003200924 Sankofa LLC 801 Key Hwy, Unit 442, Baltimore, MD 21230-3976 2015-03-28

Office Location

Street Address 1761 E CHAMBERS ST
City PHOENIX
State AZ
Zip Code 85040-3322

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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]

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City PHOENIX
Zip Code 85040

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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.