Organization
BASAMI HOUSE,LLC
Active
Organization
BASAMI HOUSE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE 0DONGO (MEMBER)
(602) 903-9193
Entity
Organization
Contact information
Practice address
15434 N 10TH AVE, PHOENIX, AZ 85023-4476
(602) 439-2316
Mailing address
PO BOX 42927, PHOENIX, AZ 85080-2927
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH 4444
AZ
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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