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GUTHRIE MAINSTREAM SERVICES LLC NPI 1639384282


NPI Information

NPI: 1639384282
Provider Name: GUTHRIE MAINSTREAM SERVICES LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
727 S EXTENSION RD
MESA, AZ
ZIP 85210
Phone: (480) 633-8881
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GUTHRIE MAINSTREAM SERVICES LLC is a day training developmentally disabled services in Mesa, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GUTHRIE MAINSTREAM SERVICES LLC NPI is 1639384282. The provider is registered as an organization entity type.

The provider's business location address is:

727 S EXTENSION RD
MESA, AZ
ZIP 85210-212
Phone: (480) 633-8881
Fax: (480) 633-7095

The provider's authorized official is Terry Sue Guthrie .
The authorized official title is C.e.o. and has the following contact phone number (480) 633-8881.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.


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
1251C00000XDay Training, Developmentally Disabled Services7933374ARIZONAYes
2251E00000XHome Health7933374ARIZONAX
3347C00000XPrivate Vehicle7933374ARIZONAX

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
17933374OTHERARIZONAAHCCCS PROVIDER ID

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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