THE EXCEL GROUP NPI 1508940685

NPI Information

NPI: 1508940685
Provider Name: THE EXCEL GROUP

Other Name: CASA DE ESPERANZA GROUP HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3180 E 40TH ST
YUMA, AZ
ZIP 85365
Phone: (928) 341-0335
Get Directions

THE EXCEL GROUP is a community based residential treatment facility mental illness in Yuma, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE EXCEL GROUP NPI is 1508940685. The provider is registered as an organization entity type.
The provider Other Name Is Casa De Esperanza Group Home.

The provider's business location address is:

3180 E 40TH ST
YUMA, AZ
ZIP 85365-772
Phone: (928) 341-0335
Fax: (928) 344-9120

The provider's authorized official is Carol A. Carr .
The authorized official title is Ceo and has the following contact phone number (928) 341-0335.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 10/15/2007.

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		BH-1554	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZWCKBS	MEDICARE PIN	ARIZONA
2	437443	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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