FOUR DIRECTIONS LLC NPI 1205004991

NPI Information

NPI: 1205004991
Provider Name: FOUR DIRECTIONS LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
2248 N ASHBROOK CIR
MESA, AZ
ZIP 85213
Phone: (480) 699-2344
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FOUR DIRECTIONS LLC is a respite care in Mesa, AZ. The provider is definition to come. FOUR DIRECTIONS LLC NPI is 1205004991. The provider is registered as an organization entity type.

The provider's business location address is:

2248 N ASHBROOK CIR
MESA, AZ
ZIP 85213-276
Phone: (480) 699-2344

The provider's authorized official is Romualdo R Munoz .
The authorized official title is Program Administrator and has the following contact phone number (480) 699-2344.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		CSA08ADHS0198	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CSA08ADHS0198	OTHER	ARIZONA	ADHS CERTIFICATE

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

NPI Synchronization or Removal

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