Az Interact Llc

LBN: Az Interact Llc
Az Interact Llc is an health care organization with primary practice located at 6055 West Caribe Lane , Glendale AZ 85306. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Az Interact Llc can be contacted via phone (602) 487-8806, or through Santana, Eduardo via phone (602) 487-8806.

Contact Information

Primary practice address
6055 West Caribe Lane Glendale AZ 85306
Phone: (602) 487-8806
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santana, Eduardo
Phone: (602) 487-8806

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X BH4514 Arizona
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X BH4802 Arizona
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X BH4801 Arizona

Profile Details

NPI number 1427502947
LBN Legal business name Az Interact Llc
DBA Doing business as
Authorized official Santana, Eduardo
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427502947 NPPES
Arizona MEDICAID 1154781037
Arizona MEDICAID 1760885347
Arizona MEDICAID 1518327493

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