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SPLENDOR BEHAVIORAL RESIDENCY LLC NPI 1619634458


NPI Information

NPI: 1619634458
Provider Name: SPLENDOR BEHAVIORAL RESIDENCY LLC

Doing Business As: SPLENDOR BEHAVIORAL RESIDENCY LLC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
43842 W ELIZABETH AVE
MARICOPA, AZ
ZIP 85138
Phone: (713) 291-1836
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SPLENDOR BEHAVIORAL RESIDENCY LLC is a community based residential treatment facility mental illness in Maricopa, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SPLENDOR BEHAVIORAL RESIDENCY LLC NPI is 1619634458. The provider is registered as an organization entity type.
The provider Is Doing Business As Splendor Behavioral Residency Llc.

The provider's business location address is:

43842 W ELIZABETH AVE
MARICOPA, AZ
ZIP 85138-673
Phone: (713) 291-1836

The provider's authorized official is Kasarachi Darlyn Emedoro .
The authorized official title is Manager/owner and has the following contact phone number (713) 291-1836.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 12/1/2021.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes
2324500000XSubstance Abuse Rehabilitation FacilityNo
3251S00000XCommunity/Behavioral HealthNo

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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