Fairlane Group Home Llc

LBN: Fairlane Group Home Llc
Fairlane Group Home Llc is an health care organization with primary practice located at 821 W Fairlane Ct , Casa Grande AZ 85122-6688. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Fairlane Group Home Llc can be contacted via phone (602) 421-4663, or through Foster, Gabriella via phone (602) 421-4663.

Contact Information

Primary practice address
821 W Fairlane Ct Casa Grande AZ 85122-6688
Phone: (602) 421-4663
Fax: (602) 610-5557
Website:
Map and Directions
Authorized official contact:
Name: Foster, Gabriella MAC, CHT
Phone: (602) 421-4663

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1700528650
LBN Legal business name Fairlane Group Home Llc
DBA Doing business as
Authorized official Foster, Gabriella MAC, CHT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2022
Last updated Apr 12th, 2022 - about 4 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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