Martha'S Residential Care Llc

LBN: Martha'S Residential Care Llc
Martha'S Residential Care Llc is an health care organization with primary practice located at 8572 W Palo Verde Ave , Peoria AZ 85345-5354. 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. Martha'S Residential Care Llc can be contacted via phone (480) 217-6996, or through Tunis, Saffiatu S via phone (480) 217-6996.

Contact Information

Primary practice address
8572 W Palo Verde Ave Peoria AZ 85345-5354
Phone: (480) 217-6996
Fax: (480) 452-0243
Website:
Map and Directions
Authorized official contact:
Name: Tunis, Saffiatu S PHD
Phone: (480) 217-6996

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4469 Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4907 Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1962818187
LBN Legal business name Martha'S Residential Care Llc
DBA Doing business as
Authorized official Tunis, Saffiatu S PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2014
Last updated Aug 16th, 2021 - about 5 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 1962818187 NPPES
Arizona Other BH6971 LICENSE

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