Azbh Services LLC
Community Based Residential Treatment Facility, Mental Illness

Address: 5224 S 22nd Way, Phoenix, AZ 85040-3401
Phone: 6025795706

Azbh Services LLC (NPI# 1154926541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154926541
Entity Type Organization
Organization Name AZBH SERVICES LLC
Practice Address 5224 S 22nd Way
Phoenix
AZ 85040-3401
Practice Telephone 6025795706
Mailing Address 5224 S 22nd Way
Phoenix
AZ 85040-3401
Authorized Official Name Jesus Acosta (CEO)
Authorized Official Telephone 6025795706
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-02
Last Update Date 2020-12-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Copperleaf Home Doing Business As Name - Organization

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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1588281604 Alliance Behavioral Care LLC Community Based Residential Treatment Facility, Mental Illness 1402 E Hoover Ave, Phoenix, AZ 85006-1737 2020-07-06
1891312542 Semper Fidelis Behavioral Health Care, LLC Community Based Residential Treatment Facility, Mental Illness 8020 N 17th Dr, Phoenix, AZ 85021-5217 2020-06-29
1174143846 Alpine Villa LLC Community Based Residential Treatment Facility, Mental Illness 14414 N 29th St, Phoenix, AZ 85032-5004 2020-04-22
1346860657 Semper Fidelis Behavioral Health & Counseling, LLC Community Based Residential Treatment Facility, Mental Illness 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 2020-04-16
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Office Location

Street Address 5224 S 22ND WAY
City PHOENIX
State AZ
Zip Code 85040-3401

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Competitor

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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.