BIG JOHN GROUP HOME NPI 1255484366

NPI Information

BIG JOHN GROUP HOME 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. BIG JOHN GROUP HOME NPI is 1255484366. The provider is registered as an organization entity type.

The provider's business location address is:

12514 N 126TH LN
EL MIRAGE, AZ
ZIP 85335-206
Phone: (480) 202-2972
Fax: (623) 546-0161

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

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.