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General NPI Number Information
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NPI Number | 1356832067
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Entity Type | Organization
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Legal Business Name | ASTERI GROUP HOME, LLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 23172 W ASHLEIGH MARIE DR
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City | BUCKEYE
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State | AZ
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Zip | 85326-4000
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Country | US
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Telephone | 480-938-3815
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Fax | 623-213-8226
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Provider Business Mailing Address
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Address Line | 23172 W ASHLEIGH MARIE DR
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City | BUCKEYE
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State | AZ
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Zip | 85326-4000
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Country | US
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Telephone | 480-938-3815
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Fax | 623-213-8226
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Authorized Official
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Title or Position | BHT
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Name | SAMMIE BLACK
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Credential |
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Telephone | 623-213-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | BH5425
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License Number State | AZ
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