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RUSSELL HAYS NPI 1649325432


NPI Information

NPI: 1649325432
Provider Name: RUSSELL HAYS
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
3540 E CAMPO BELLO DR
PHOENIX, AZ
ZIP 85032
Phone: (602) 626-7349
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RUSSELL HAYS is an assisted living and mental illness assisted living facility in Phoenix, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. RUSSELL HAYS NPI is 1649325432. The provider is registered as an organization entity type.

The provider's business location address is:

3540 E CAMPO BELLO DR
PHOENIX, AZ
ZIP 85032-032
Phone: (602) 626-7349
Fax: (602) 626-7351

The provider's authorized official is Russell G Hays .
The authorized official title is Administrator and has the following contact phone number (602) 626-7349.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/13/2009.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessBH2775ARIZONAYes

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
1BH2775OTHERARIZONAAZ STATE LICENSE
2BH2959OTHERARIZONAAZ STATE LICENSE
3866717MEDICAIDARIZONA

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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