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PROFESSIONAL P.E.A.R.L.S. HOME CARE LLC NPI 1972820850


NPI Information

NPI: 1972820850
Provider Name: PROFESSIONAL P.E.A.R.L.S., HOME CARE, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
6151 W MONTE VISTA RD
PHOENIX, AZ
ZIP 85035
Phone: (480) 659-6161
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PROFESSIONAL P.E.A.R.L.S., HOME CARE, LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROFESSIONAL P.E.A.R.L.S., HOME CARE, LLC NPI is 1972820850. The provider is registered as an organization entity type.

The provider's business location address is:

6151 W MONTE VISTA RD
PHOENIX, AZ
ZIP 85035-530
Phone: (480) 659-6161
Fax: (480) 659-6161

The provider's authorized official is Rosalyn Young .
The authorized official title is Administrator and has the following contact phone number (312) 617-7857.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 4/30/2010.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessBH3469ARIZONAYes

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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