NPI Code Details Logo

NPI 1164383667

NPI 1164383667 : ASSIST ABILITY LLC : PHOENIX, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1164383667
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ASSIST ABILITY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/24/2025
-----------------------------------------------------
    Last Update Date     |    11/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4612 N 94TH DR 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85037-1330
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-633-4696
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4612 N 94TH DR 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85037-1330
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-633-4696
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR
-----------------------------------------------------
    Name                 |     MICHAEL  SABBAGH 
-----------------------------------------------------
    Credential           |    BHT
-----------------------------------------------------
    Telephone            |    602-633-4696
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320800000X
-----------------------------------------------------
    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.