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STARKS HOMES LLC NPI 1518331057


NPI Information

NPI: 1518331057
Provider Name: STARKS HOMES LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2873 E LUCCA LN
VAIL, AZ
ZIP 85641
Phone: (520) 762-9836
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STARKS HOMES LLC is a residential treatment facility emotionally disturbed children in Vail, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. STARKS HOMES LLC NPI is 1518331057. The provider is registered as an organization entity type.

The provider's business location address is:

2873 E LUCCA LN
VAIL, AZ
ZIP 85641-712
Phone: (520) 762-9836

The provider's authorized official is Corey Dujuan Starks .
The authorized official title is Program Administrator and has the following contact phone number (520) 304-6681.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/20/2015.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH4675ARIZONAYes

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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