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UNITY GROUP HOME LLC NPI 1104008366


NPI Information

NPI: 1104008366
Provider Name: UNITY GROUP HOME, LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
12406 W SURREY AVE
EL MIRAGE, AZ
ZIP 85335
Phone: (480) 202-2972
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UNITY GROUP HOME, LLC is a residential treatment facility emotionally disturbed children in El Mirage, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. UNITY GROUP HOME, LLC NPI is 1104008366. The provider is registered as an organization entity type.

The provider's business location address is:

12406 W SURREY AVE
EL MIRAGE, AZ
ZIP 85335-245
Phone: (480) 202-2972
Fax: (623) 546-0161

The provider's authorized official is Stephanie Kay Edwards .
The authorized official title is Owner and has the following contact phone number (480) 202-2972.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH-2998ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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