Tri-Phase Group Home Inc

LBN: Tri-Phase Group Home Inc
Tri-Phase Group Home Inc is an health care organization with primary practice located at 1575 E Betsy Ln Unit D , Gilbert AZ 85296-3759. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Residential Treatment Facilities / Substance Abuse Treatment, Children. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Tri-Phase Group Home Inc can be contacted via phone (623) 474-6326, or through Mckinney, Sherri via phone (623) 474-6326.

Contact Information

Primary practice address
1575 E Betsy Ln Unit D Gilbert AZ 85296-3759
Phone: (623) 474-6326
Fax: (623) 474-6516
Website:
Map and Directions
Authorized official contact:
Name: Mckinney, Sherri
Phone: (623) 474-6326

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X BH-1914 Arizona
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X BH-1914 Arizona

Profile Details

NPI number 1396914735
LBN Legal business name Tri-Phase Group Home Inc
DBA Doing business as
Authorized official Mckinney, Sherri
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Jun 26th, 2008 - about 18 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 1396914735 NPPES
Arizona Other 873770 AHCCCS

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