MEDICARE: BONDING HEARTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1295405900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONDING HEARTS

Provider Business Mailing Address
First Line	:	1616 E INDIAN SCHOOL RD STE 225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8613
Country	:	US
Telephone Number	:	773-263-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 E INDIAN SCHOOL RD STE 225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8613
Country	:	US
Telephone Number	:	773-263-3010
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOS PENNIX
Credential	:
Telephone Number	:	773-263-3010

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	09/14/2021

Similar Medicare Providers

1295409472 — CARLOS PENNIX
Practice Location Address:

1616 E INDIAN SCHOOL RD STE 225
PHOENIX, AZ
85016-8613

Practice Phone: 773-263-3010
Practice Fax:

1477533610 — MARYAM H LATEEF MHNP
Practice Location Address:

8613 S 7TH DR
PHOENIX, AZ
85041-8311

Practice Phone: 480-835-2371
Practice Fax: 623-847-4047

1316218753 — LATEEF BEHAVIORAL CARE HOME
Practice Location Address:

8613 S 7TH DR
PHOENIX, AZ
85041-8311

Practice Phone: 602-314-5903
Practice Fax:

1053708727 — CAROLYN GRIEDL RD
Practice Location Address:

1842 E MUIRWOOD DR
PHOENIX, AZ
85048-8613

Practice Phone: 480-734-3650
Practice Fax:

1316827355 — SHELBY DALGAI RN
Practice Location Address:

5102 E PIEDMONT RD APT 1241
PHOENIX, AZ
85044-8613

Practice Phone: 928-600-3512
Practice Fax:

1043198799 — SHAYNA DANGER MORROW LAC
Practice Location Address:

2211 E HIGHLAND AVE
PHOENIX, AZ
85016-4835

Practice Phone: 480-349-3671
Practice Fax:

Directions to “BONDING HEARTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.