SPRINGBROOK HABILITATION SERVICES, LLC
NPI 1699946533
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since March 19, 2008

Contact Information

12002 N 28TH ST
PHOENIX, AZ
ZIP 85028
Phone: (602) 795-2088

Get Directions Reviews

  • Organization
  • Community Based Residential Treatment Fa...

About SPRINGBROOK HABILITATION SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Springbrook Habilitation Services, Llc, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1699946533 assigned on March 2008. The practitioner's primary taxonomy code is 320800000X with license number BH-2372 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. George W. Green Jr. M.ed. (Clinical Director)

NPI
1699946533
Provider Name
SPRINGBROOK HABILITATION SERVICES, LLC
Entity Type
Organization
Location Address
12002 N 28TH ST PHOENIX, AZ 85028
Location Phone
(602) 795-2088
Mailing Address
4835 E CACTUS RD SUITE 460 SCOTTSDALE, AZ 85254
Mailing Phone
(602) 424-1838
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2008
Last Update Date
12-28-2009
Code Navigator

Location Map

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.
BH-2372
License State
AZ
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. GEORGE W. GREEN JR. M.ED.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(602) 424-1838

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
819013MEDICAID (05)AZ 

Reviews for SPRINGBROOK HABILITATION SERVICES, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1699946533
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891841256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 8 + 4 + 1 + 2 + 5 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1699946533 is valid because the calculated check digit 3 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 1699946533, enumerated in the NPI registry as an "organization" on March 19, 2008

The provider is located at 12002 N 28th St Phoenix, Az 85028 and the phone number is (602) 795-2088

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 19, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.