MERRYMINDS BEHAVIORAL HOME LLC NPI 1114614914

NPI Information

NPI: 1114614914
Provider Name: MERRYMINDS BEHAVIORAL HOME LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
11461 W CAMBRIDGE AVE
AVONDALE, AZ
ZIP 85392
Phone: (623) 552-0135
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MERRYMINDS BEHAVIORAL HOME LLC is a community based residential treatment facility mental illness in Avondale, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MERRYMINDS BEHAVIORAL HOME LLC NPI is 1114614914. The provider is registered as an organization entity type.

The provider's business location address is:

11461 W CAMBRIDGE AVE
AVONDALE, AZ
ZIP 85392-022
Phone: (623) 552-0135

The provider's authorized official is Arafa Arbab .
The authorized official title is C0-owner and has the following contact phone number (623) 552-0135.

The enumeration date for this NPI number is 4/20/2023 and was last updated on 4/20/2023.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				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: 5/5/2024

NPI Synchronization or Removal

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