Organization · Type 2 NPI

Bougainvillea Manor LLC

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1811680713 Active

Practice location

2344 W Apollo Rd
Phoenix, AZ 85041-5333

Call (480) 239-9648 Map

Other practice locations

6646 S 57th Ave, Laveen, AZ 85339-2254 · (480) 239-9648
6638 S 57th Ave, Laveen, AZ 85339-2254 · (480) 239-9648

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2 other providers at this address

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NPI record

NPI: 1811680713
Entity type: Organization (Type 2)
Issued: May 29, 2023
Last updated: May 17, 2026
Status: Active

Other names

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Bougainvillea Manor 2344 · doing business as
Bougainvillea Manor Behavioral Health · doing business as

Authorized official

Mr. Krishna P Ashili
Administrator
(480) 239-9648

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About NPI 1811680713

Bougainvillea Manor LLC's National Provider Identifier is 1811680713, issued on May 29, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on May 17, 2026.