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Buckhorn Residential

NPI 1497534895ActiveOrganization· Lodging· Phoenix, AZ

Lodging in Phoenix, Arizona, registered in NPPES in September 2023. The authorized official on file is Michael Johnson, Ceo.

Overview

NPI1497534895
StatusActive
Entity typeOrganization
NPI issuedSep 25, 2023
Last updated in NPPESSep 25, 2023
Certified by providerSep 25, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Lodging Primary177F00000X——
Community/Behavioral Health251S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Lodging providers in Phoenix

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