ANGEL HEART BEHAVIORAL HEALTH V , LLC – NPI #1295323095
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

ANGEL HEART BEHAVIORAL HEALTH V , LLC is a community based residential treatment facility located in TOLLESON, AZ. NPPES has assigned the NPI number 1295323095 to ANGEL HEART BEHAVIORAL HEALTH V , LLC on January 06, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 ANGEL HEART BEHAVIORAL HEALTH V , LLC below.

NPI Profile for
ANGEL HEART BEHAVIORAL HEALTH V , LLC

NPI Number
1295323095
Enumeration Date

(more than 5 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
ANGEL HEART BEHAVIORAL HEALTH V , LLC
Primary location
3909 S 103RD DR
TOLLESON, AZ 85353-4187
Phone: (207) 409-6515 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC NIBIZI
CEO
Phone: (207) 409-6515
Updated
Certification Date
Jan 06, 2021

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (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.