Ebony House Inc in Phoenix - Substance Abuse Rehabilitation Facility
Ebony House Inc - NPI 1851455604
Ebony House Inc is a Substance Abuse Rehabilitation Facility in Phoenix, Arizona. Ebony House Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Ebony House Inc is 1851455604. The last update date is 2023-07-26.
Ebony House Inc's current location address is 6222 S 13th St, Phoenix, Arizona. You can contact this provider via phone number 6022764288 and fax number 6022322938. The mailing address for Ebony House Inc is 6222 S 13th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ebony House Inc |
|---|---|
| Address | 6222 S 13th St, Phoenix, Arizona |
| Phone Number | 6022764288 |
| Fax Number | 6022322938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jordan Che |
| Telephone Number | 6022764288 |
NPI Number Detail
| NPI Number | 1851455604 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2023-07-26 |
Provider Mailing Address Detail
| Address | 6222 S 13th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850424408 |
| Phone Number | 6022764288 |
| Fax Number | 6022322938 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | BH2371 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 845604 | AZ | AHCCCS NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ebony House Inc by the Centers for Medicare & Medicaid Services?
The Ebony House Inc has been assigned the NPI (National Provider Identifier) 1851455604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Ebony House Inc's physical address?
The Ebony House Inc is physically located at 6222 S 13Th St, in the city of Phoenix, AZ, with the postal code 850424408.
What is Ebony House Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ebony House Inc is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy classification code for this specialized field is 324500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851455604 to Ebony House Inc?
The Ebony House Inc received its 1851455604 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information related to Ebony House Inc most recently updated or refreshed?
The details pertaining to the Ebony House Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-07-26.
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