SONORAN SKY COMMUNITY SERVICES
NPI 1134665680
Community Based Residential Treatment Facility, Mental Illness in Glendale, AZ

NPI Status: Active since January 09, 2017

Contact Information

4912 W ECHO LN
GLENDALE, AZ
ZIP 85302
Phone: (623) 466-7986
Fax: (602) 674-0942

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About SONORAN SKY COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for Sonoran Sky Community Services, a provider established in Glendale, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1134665680 assigned on January 2017. The practitioner's primary taxonomy code is 320800000X with license number BH4701 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Susan Soyars (Director)

NPI
1134665680
Provider Name
SONORAN SKY COMMUNITY SERVICES
Entity Type
Organization
Location Address
4912 W ECHO LN GLENDALE, AZ 85302
Location Phone
(623) 466-7986
Location Fax
(602) 674-0942
Mailing Address
9601 N BLACK CANYON HWY PHOENIX, AZ 85021
Mailing Phone
(602) 216-0518
Mailing Fax
(602) 674-0942
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2017
Last Update Date
07-28-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
BH4701
License State
AZ
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN SOYARS

Authorized Official Title
DIRECTOR
Authorized Official Phone
(602) 216-0518

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134665680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216412610616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 6 + 1 + 0 + 6 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134665680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134665680, enumerated in the NPI registry as an "organization" on January 09, 2017

The provider is located at 4912 W Echo Ln Glendale, Az 85302 and the phone number is (623) 466-7986

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on January 09, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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