ALPINE VILLA LLC NPI 1225697386

NPI Information

  • NPI: 1225697386
  • Provider Name: ALPINE VILLA LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: ALPINE VILLA LUKE
  • CLIA Number: 03D2258760
  • Address: 2144 W LUKE AVE
    PHOENIX, AZ
    ZIP 85015
  • Phone: (602) 975-1700

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NPI Details

ALPINE VILLA 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. ALPINE VILLA LLC NPI is 1225697386. The provider is registered as an organization entity type.
The provider Is Doing Business As Alpine Villa Luke.

The provider's business location address is:

2144 W LUKE AVE
PHOENIX, AZ
ZIP 85015-319
Phone: (602) 975-1700

The provider's authorized official is Eric Glade Maughan .
The authorized official title is Administrator/owner and has the following contact phone number (602) 292-2010.

The CLIA number assigned to this NPI record is 03D2258760 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 10/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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