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TED RYERSBACH NPI 1558494641


NPI Information

NPI: 1558494641
Provider Name: TED RYERSBACH
Classification: Respite Care - 385HR2055X
Entity Type: Individual

Specialization: Respite Care, Mental Illness, Child

Address:
42613 N 46TH DR
NEW RIVER, AZ
ZIP 85087
Phone: (623) 518-6886
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Ted Ryersbach is a respite care and mental illness and child respite care in New River, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. Ted Ryersbach NPI is 1558494641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42613 N 46TH DR
NEW RIVER, AZ
ZIP 85087-975
Phone: (623) 518-6886

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.


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
1385HR2055XRespite CareRespite Care, Mental Illness, Child638ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ACCCHSOTHERARIZONA962523

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

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.