Guest House Recovery Home

LBN: Trinity Recovery Home Llc
Guest House Recovery Home is an health care organization with primary practice located at 4374 N 153Rd Dr , Goodyear AZ 85395-8392. 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. Trinity Recovery Home Llc can be contacted via phone (623) 295-2323, or through Davis, Sydney via phone (602) 837-6800.

Contact Information

Primary practice address
4374 N 153Rd Dr Goodyear AZ 85395-8392
Phone: (623) 295-2323
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Sydney
Phone: (602) 837-6800

Health care specialties

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

Profile Details

NPI number 1639740723
LBN Legal business name Trinity Recovery Home Llc
DBA Doing business as Guest House Recovery Home
Authorized official Davis, Sydney
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2021
Last updated Jan 14th, 2024 - about last year

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 1639740723 NPPES
Arizona MEDICAID 85-1549738

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