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BAL-TIP CORP NPI 1366643876


NPI Information

NPI: 1366643876
Provider Name: BAL-TIP CORP

Doing Business As: BAL-TIP ASSISTED LIVING

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3996 N BOWIE RD
GOLDEN VALLEY, AZ
ZIP 86413
Phone: (928) 565-3231
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BAL-TIP CORP is an adult care home custodial care facility in Golden Valley, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. BAL-TIP CORP NPI is 1366643876. The provider is registered as an organization entity type.
The provider Is Doing Business As Bal-tip Assisted Living.

The provider's business location address is:

3996 N BOWIE RD
GOLDEN VALLEY, AZ
ZIP 86413-211
Phone: (928) 565-3231
Fax: (928) 565-7472

The provider's authorized official is Enid Ballentine .
The authorized official title is Owner-manager and has the following contact phone number (928) 565-3231.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeALH5490ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1204806MEDICAIDARIZONA

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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