Phoenix Residential Care Llc

LBN: Phoenix Residential Care Llc
Phoenix Residential Care Llc is an health care organization with primary practice located at 3101 W Larkspur Dr , Phoenix AZ 85029-2331. 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. Phoenix Residential Care Llc can be contacted via phone (480) 939-0826, or through Gray, Zina via phone (480) 939-0826.

Contact Information

Primary practice address
3101 W Larkspur Dr Phoenix AZ 85029-2331
Phone: (480) 939-0826
Fax: (602) 518-6894
Website:
Map and Directions
Authorized official contact:
Name: Gray, Zina
Phone: (480) 939-0826

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH5032 Arizona

Profile Details

NPI number 1588108534
LBN Legal business name Phoenix Residential Care Llc
DBA Doing business as
Authorized official Gray, Zina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2016
Last updated Dec 10th, 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 1588108534 NPPES
Arizona Other 103TM1800X BEHAVIORAL HEALTH RESIDENTIAL

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