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STARKS HOMES LLC NPI 1538668983


NPI Information

NPI: 1538668983
Provider Name: STARKS HOMES LLC

Other Name: STARKS HOMES LLC FAYETTE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
7325 E FAYETTE ST
TUCSON, AZ
ZIP 85730
Phone: (520) 304-6681
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STARKS HOMES LLC is a residential treatment facility emotionally disturbed children in Tucson, 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. STARKS HOMES LLC NPI is 1538668983. The provider is registered as an organization entity type.
The provider Other Name Is Starks Homes Llc Fayette.

The provider's business location address is:

7325 E FAYETTE ST
TUCSON, AZ
ZIP 85730-324
Phone: (520) 304-6681
Fax: (520) 437-0387

The provider's authorized official is Corey Du Juan Starks .
The authorized official title is Program Administrator and has the following contact phone number (520) 304-6681.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 3/17/2018.


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 ChildrenYes

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: 4/28/2024

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