Provider Demographics
NPI:1912433905
Name:SBI LLC
Entity type:Organization
Organization Name:SBI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-647-3052
Mailing Address - Street 1:1735 E BARTLETT PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-1826
Mailing Address - Country:US
Mailing Address - Phone:602-647-3052
Mailing Address - Fax:480-422-0042
Practice Address - Street 1:1735 E BARTLETT PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-1826
Practice Address - Country:US
Practice Address - Phone:602-647-3052
Practice Address - Fax:480-422-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2022-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251C00000X, 253Z00000X, 385H00000X, 251E00000X
NMCNP-03054251J00000X, 251S00000X
AZAP2806251J00000X, 251S00000X
NMCNP02121251J00000X, 251S00000X
AZAP3300251J00000X, 251S00000X
NDR20251251J00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1366544782OtherNPI
AZ1407031107OtherNPI
NM1780131318OtherNPI
AZ1760625214OtherNPI
NM1154668507OtherNPI
AZ1760625214OtherNPI