IRMA BEHAVIORAL HOME LLC NPI 1538787023

NPI Information

NPI: 1538787023
Provider Name: IRMA BEHAVIORAL HOME LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
7034 W IRMA LN
GLENDALE, AZ
ZIP 85308
Phone: (623) 215-3652
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IRMA BEHAVIORAL HOME LLC is an assisted living and mental illness assisted living facility in Glendale, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. IRMA BEHAVIORAL HOME LLC NPI is 1538787023. The provider is registered as an organization entity type.

The provider's business location address is:

7034 W IRMA LN
GLENDALE, AZ
ZIP 85308-459
Phone: (623) 215-3652

The provider's authorized official is Joseph Ngundu .
The authorized official title is Administrator and has the following contact phone number (503) 964-0794.

The enumeration date for this NPI number is 7/10/2020 and was last updated on 7/10/2020.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	Yes
3	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No

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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