EBONY HOUSE INC (NPI# 1568937407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568937407 |
| Entity Type | Organization |
| Organization Name | EBONY HOUSE INC |
| Practice Address |
1616 E Indian School Rd Ste 250 Phoenix AZ 85016-8614 |
| Mailing Address |
6222 S 13th St Phoenix AZ 85042-4408 |
| Practice Telephone | 6022764288 |
| Mailing Telephone | 6022764288 |
| Mailing Fax Number | 6022322938 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | TONI BUGGS (PROGRAM DEVELOPMENT) |
| Authorized Official Telephone | 6022764288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1710161419 | Ebony House Inc | Counselor | 6222 S 13th St, Phoenix, AZ 85042-4408 | 2007-12-18 |
| 1851455604 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 8646 S 14th St, Phoenix, AZ 85042-7902 | 2006-12-19 |
| 1023170933 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6218 S 13th St, Phoenix, AZ 85042-4408 | 2006-12-15 |
| 1518029453 | Ebony House Inc | Case Management | 1616 E Indian School Rd, Suite 100, Phoenix, AZ 85016-8601 | 2006-12-15 |
| 1063073203 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 415, Phoenix, AZ 85016-8604 | 2019-06-27 |
| 1114171527 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S 13th St, Phoenix, AZ 85042-4408 | 2008-11-12 |
| Street Address |
1616 E INDIAN SCHOOL RD STE 250 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319473 | Julia Philipson | Nurse Practitioner | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| 1245615780 | Terros, Inc | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2015-07-27 |
| Find all providers in PHOENIX | ||||
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| 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.