Rodtree West

LBN: Rodtree West
Rodtree West is an health care organization with primary practice located at 12379 W Campbell Ave , Avondale AZ 85392-4298. The organization recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Rodtree West can be contacted via phone (602) 690-1643, or through Pearson, Rodney via phone (602) 690-1643.

Contact Information

Primary practice address
12379 W Campbell Ave Avondale AZ 85392-4298
Phone: (602) 690-1643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Rodney
Phone: (602) 690-1643

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Arizona
Agencies / Early Intervention Provider Agency 252Y00000X Arizona
Agencies / In Home Supportive Care 253Z00000X Arizona
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Arizona

Profile Details

NPI number 1134457336
LBN Legal business name Rodtree West
DBA Doing business as
Authorized official Pearson, Rodney
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2009
Last updated Nov 27th, 2009 - about 17 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 1134457336 NPPES
Arizona MEDICAID 303384

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