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K ANB B SERVICES LLC NPI 1518574292


NPI Information

NPI: 1518574292
Provider Name: K ANB B SERVICES, LLC
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
23837 W WAYLAND DR
BUCKEYE, AZ
ZIP 85326
Phone: (623) 337-2264
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K ANB B SERVICES, LLC is an intermediate care facility mentally retarded in Buckeye, AZ. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. K ANB B SERVICES, LLC NPI is 1518574292. The provider is registered as an organization entity type.

The provider's business location address is:

23837 W WAYLAND DR
BUCKEYE, AZ
ZIP 85326-020
Phone: (623) 337-2264

The provider's authorized official is Barbara Gail Adams .
The authorized official title is Owner and has the following contact phone number (623) 337-2264.

The enumeration date for this NPI number is 9/28/2020 and was last updated on 9/28/2020.


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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251E00000XHome HealthNo
4251J00000XNursing CareNo
5310400000XAssisted Living FacilityNo
63104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
7315P00000XIntermediate Care Facility, Mentally RetardedYes

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
1Q09202014291OTHERARIZONADDD 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

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