EAGLES NEST THUNDERBIRD LLC NPI 1649965195

NPI Information

  • NPI: 1649965195
  • Provider Name: EAGLES NEST THUNDERBIRD LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Doing Business As: EAGLESNESTTHUNDERBIRD
  • Address: 540 E THUNDERBIRD TRL
    PHOENIX, AZ
    ZIP 85042
  • Phone: (602) 305-9599

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NPI Details

EAGLES NEST THUNDERBIRD LLC is a residential treatment facility emotionally disturbed children in Phoenix, 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. EAGLES NEST THUNDERBIRD LLC NPI is 1649965195. The provider is registered as an organization entity type.
The provider Is Doing Business As Eaglesnestthunderbird.

The provider's business location address is:

540 E THUNDERBIRD TRL
PHOENIX, AZ
ZIP 85042-370
Phone: (602) 305-9599
Fax: (602) 268-4834

The provider's authorized official is Barbara L Cobbs-mcclure .
The authorized official title is Assistant Director and has the following contact phone number (602) 570-9309.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 5/23/2023.

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 License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 3/30/2025

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