Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Buckhorn Residential

Organization Lodging Provider · NPI 1497534895

Buckhorn Residential is a Lodging Provider in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1945 W Van Buren St Ste 1
Phoenix, AZ 85009-3805
Phone: (480) 293-4327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lodging Provider (primary) Taxonomy 177F00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1497534895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Johnson — Ceo · (480) 293-4327
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address1945 W Van Buren St Ste 1, Phoenix, AZ 85009-3805

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