PROVIDENCE BHF LLC – NPI #1912692492
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Health Care Provider Taxonomy Code for Assisted Living Facility

PROVIDENCE BHF LLC is an assisted living facility located in SAN TAN VALLEY, AZ. NPPES has assigned the NPI number 1912692492 to PROVIDENCE BHF LLC on April 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3104A0630X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances

The NPI profile was previously updated about 3 years ago on Aug 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE BHF LLC below.

NPI Profile for
PROVIDENCE BHF LLC

NPI Number
1912692492
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE BHF LLC
Primary location
1135 E SADDLE BACK PLACE
SAN TAN VALLEY, AZ 85143
Phone: (973) 807-8333 Fax:
Mailing address
21168 E OCOTILLO RD # 1149
QUEEN CREEK, AZ 85142-8175
Phone: (973) 807-8333 Fax:
Organization Subpart
No
Authorized Official
JESSICA ARAUJO
CEO
Phone: (973) 807-8333
Updated
Certification Date
Aug 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.