Healthcare Provider Details

I. General information

NPI: 1568311371
Provider Name (Legal Business Name): NATIONAL COMMUNITY BUILDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15030 N 134TH LN
SURPRISE AZ
85379-6568
US

IV. Provider business mailing address

15030 N 134TH LN
SURPRISE AZ
85379-6568
US

V. Phone/Fax

Practice location:
  • Phone: 480-276-5418
  • Fax:
Mailing address:
  • Phone: 480-276-5418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FERRI HAMILTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 480-276-5418