OUR HOME OF UNITY LLC


Address: 8105 W Magnolia St, Phoenix, AZ 85043-5420
Phone: 5038910610

OUR HOME OF UNITY LLC (NPI# 1871136945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871136945
Entity Type Organization
Organization Name OUR HOME OF UNITY LLC
Practice Address 8105 W Magnolia St
Phoenix
AZ 85043-5420
Mailing Address 7141 W Carter Rd
Laveen
AZ 85339-7059
Practice Telephone 5038910610
Mailing Telephone 5038910610
Enumeration Date 2019-10-22
Last Update Date 2020-10-07
Authorized Official Name TLAHJONTE HOPSON (ADMINISTRATOR)
Authorized Official Telephone 6027992757
Authorized Official Credential BHT
Is Organization Subpart Y
Parent Organization Name BH5954

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
N 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
Nursing Service Providers
N 172A00000X Driver Other Service Providers
N 172V00000X Community Health Worker Other Service Providers
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 251S00000X Community/Behavioral Health Agencies
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 598608 05
AZ AZ DEPT OF HEALTH BH5731 01
AZ AZ DEPT OF HEALTH BH5738 01
AZ AZ DEPT OF HEALTH BH5904 01
AZ AZ DEPT OF HEALTH BH5954 01
AZ AZ DEPT OF HEALTH BH5953 01
AZ AZ DEPT OF HEALTH BH5550 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962052712 Our Home of Unity LLC Counselor 6616 S 48th Ln, Laveen, AZ 85339-1986 2019-09-13
1558915843 Our Home of Unity LLC Counselor 6804 S 21st Dr, Phoenix, AZ 85041 2019-07-25
1437702883 Our Home of Unity LLC Substance Abuse Rehabilitation Facility 8325 W Superior Ave, Tolleson, AZ 85353-3694 2019-07-24
1942784285 Our Home of Unity LLC Case Manager/Care Coordinator 7019 S 77th Ln, Laveen, AZ 85339-7231 2018-09-22
1275196149 Our Home of Unity LLC Counselor 8709 S 47th Ln, Laveen, AZ 85339-2179 2019-04-17

Office Location

Street Address 8105 W MAGNOLIA ST
City PHOENIX
State AZ
Zip Code 85043-5420

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NPI Name Taxonomy Address Enumeration
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1821312877 Bertha Romero Case Manager/Care Coordinator 7315 W Jones Ave, Phx, AZ 85043 2010-03-19
1477705788 Patrick Lynn Perryman Psychologist 7250 W Buckeye Rd, Phoenix, AZ 85043 2008-10-17
1891910246 Sammie Trotter Technician 5025 S. 24th Ave, Phoenix, AZ 85043 2007-04-13
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1548889793 Shea Home LLC Community Based Residential Treatment Facility, Mental Illness 10435 N 40th St, Phoenix, AZ 85028-4043 2020-04-08
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1043846561 Happy Haven Az LLC Community Based Residential Treatment Facility, Mental Illness 1110 W Hadley St, Phoenix, AZ 85007-3610 2020-03-16
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Competitor

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City PHOENIX
Zip Code 85043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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