CTB AZ LLC NPI 1770195612

NPI Information

NPI: 1770195612
Provider Name: CTB AZ, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
2075 S COTTONWOOD DR
TEMPE, AZ
ZIP 85282
Phone: (602) 318-2041
Get Directions

CTB AZ, LLC is an adult care home custodial care facility in Tempe, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CTB AZ, LLC NPI is 1770195612. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2075 S COTTONWOOD DR
TEMPE, AZ
ZIP 85282-040
Phone: (602) 318-2041

The provider's authorized official is Kelly Masengale .
The authorized official title is Owner and has the following contact phone number (602) 318-2041.

The enumeration date for this NPI number is 8/21/2020 and was last updated on 8/21/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	225100000X	Physical Therapist		No
2	225X00000X	Occupational Therapist		No
3	235Z00000X	Speech-Language Pathologist		No
4	251C00000X	Day Training, Developmentally Disabled Services		No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
6	373H00000X	Day Training/Habilitation Specialist		No
7	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
8	311ZA0620X	Custodial Care Facility	Adult Care Home	Yes

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

NPI Synchronization or Removal

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