PARADISE SPRINGS HOMES NPI 1932771417

NPI Information

NPI: 1932771417
Provider Name: PARADISE SPRINGS HOMES
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
5235 S AXIOM
MESA, AZ
ZIP 85212
Phone: (213) 373-3549
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PARADISE SPRINGS HOMES is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PARADISE SPRINGS HOMES NPI is 1932771417. The provider is registered as an organization entity type.

The provider's business location address is:

5235 S AXIOM
MESA, AZ
ZIP 85212-529
Phone: (213) 373-3549

The provider's authorized official is Gina Wilson .
The authorized official title is Chief Of Operations and has the following contact phone number (213) 373-3549.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 11/13/2021.

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	251S00000X	Community/Behavioral Health		No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	324500000X	Substance Abuse Rehabilitation Facility		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH6860	OTHER	ARIZONA	AZ DHS
2	096170	MEDICAID	ARIZONA

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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