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VICTORIAN HOMES ADULT CARE NPI 1063100949


NPI Information

NPI: 1063100949
Provider Name: VICTORIAN HOMES ADULT CARE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3110 S RURAL RD STE 104
TEMPE, AZ
ZIP 85282
Phone: (480) 590-5644
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VICTORIAN HOMES ADULT CARE is a community behavioral health in Tempe, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VICTORIAN HOMES ADULT CARE NPI is 1063100949. The provider is registered as an organization entity type.

The provider's business location address is:

3110 S RURAL RD STE 104
TEMPE, AZ
ZIP 85282-869
Phone: (480) 590-5644

The provider's authorized official is Constance Bolton .
The authorized official title is Owner/administrator and has the following contact phone number (925) 915-9525.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/28/2023.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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