Adult Foster Care Provider

LBN: Deveruex
Adult Foster Care Provider is an health care organization with primary practice located at 22958 W Gardenia Dr , Buckeye AZ 85326-6230. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Deveruex can be contacted via phone (480) 438-5338, or through Chambers, Nicole Michelle via phone (480) 438-5338.

Contact Information

Primary practice address
22958 W Gardenia Dr Buckeye AZ 85326-6230
Phone: (480) 438-5338
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Nicole Michelle
Phone: (480) 438-5338

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1245682673
LBN Legal business name Deveruex
DBA Doing business as Adult Foster Care Provider
Authorized official Chambers, Nicole Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2016
Last updated Jul 9th, 2016 - about 10 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 1245682673 NPPES
Arizona Other 1033425368 ACCCHS

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