=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669308672
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HONORHEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2026
-----------------------------------------------------
Last Update Date | 06/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 W UTOPIA RD
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85027-4171
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-683-7673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 W UTOPIA RD
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85027-4171
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-683-7673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NTWK DIR CASH APP & GOVT RPTNG
-----------------------------------------------------
Name | JESIKA BAILIE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 623-683-4529
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------