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BETHANY RANCH HOME INC NPI 1942322425


NPI Information

NPI: 1942322425
Provider Name: BETHANY RANCH HOME, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
6130 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 616-3470
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BETHANY RANCH HOME, INC is a day training developmentally disabled services in Phoenix, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. BETHANY RANCH HOME, INC NPI is 1942322425. The provider is registered as an organization entity type.

The provider's business location address is:

6130 N 16TH ST
PHOENIX, AZ
ZIP 85016-705
Phone: (602) 616-3470

The provider's authorized official is Barbara Oxley .
The authorized official title is Executive Director and has the following contact phone number (602) 616-3470.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesARIZONAYes
2261QD1600XClinic/CenterDevelopmental DisabilitiesARIZONAX
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesARIZONAX
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesARIZONAX
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesARIZONAX
6347C00000XPrivate VehicleARIZONAX
7385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesARIZONAX

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
1E2104999OTHERARIZONAARIZONA PROVIDER ID

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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