Organization
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Active
Organization
THE HERITAGE BEHAVIORAL HEALTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN SMITH (DIRECTOR OF OPERATIONS)
(973) 270-4676
Entity
Organization
Contact information
Practice address
3927 W ROVEY AVE, PHOENIX, AZ 85019-1633
(602) 675-3975
Mailing address
3927 W ROVEY AVE, PHOENIX, AZ 85019-1633
(973) 452-2505
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
AZ
Enumeration date
07/29/2020
Last updated
08/12/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up