Organization
OUR HOME OF UNITY LLC
Active
Organization
OUR HOME OF UNITY LLC
Active
Parent organization
BH5731
Other names
OUR HOME OF UNITY LLC-2
Organization subpart
Yes
Provider details
NPI number
Legal business name
BH5731
Authorized official
TLAHJONTE HOPSON OWNER (ADMINISTRATOR)
(602) 799-2757
Entity
Organization
Contact information
Practice address
8709 S 47TH LN, LAVEEN, AZ 85339-2179
(602) 368-3949
(888) 753-0530
Mailing address
4513 W LODGE DR, LAVEEN, AZ 85339-7788
(602) 761-2860
(480) 781-6889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444686
AHCCCS
AZ
01
—
BH5550
ARIZONA DEPARTMENT OF HEALTH
AZ
01
—
BH5731
AZ DEPT OF HEALTH
AZ
01
—
BH5738
AZ DEPT OF HEALTH
AZ
01
—
BH5904
AZ DEPT OF HEALTH
AZ
01
—
BH5954
AZ DEPT OF HEALTH
AZ
Enumeration date
04/17/2019
Last updated
06/05/2024
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