LOLOMA HOUSE LLC NPI 1942743711

NPI Information

NPI: 1942743711
Provider Name: LOLOMA HOUSE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
15259 N 67TH DR
PEORIA, AZ
ZIP 85381
Phone: (623) 418-6657
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LOLOMA HOUSE LLC is a community based residential treatment facility mental illness in Peoria, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LOLOMA HOUSE LLC NPI is 1942743711. The provider is registered as an organization entity type.

The provider's business location address is:

15259 N 67TH DR
PEORIA, AZ
ZIP 85381-502
Phone: (623) 418-6657
Fax: (623) 322-8664

The provider's authorized official is Laura Hornback .
The authorized official title is Owner/administrative Officer and has the following contact phone number (623) 418-6657.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 11/30/2016.

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	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH4687	ARIZONA	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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