PR & A GROUP HOMES LLC NPI 1740951854

NPI Information

NPI: 1740951854
Provider Name: PR & A GROUP HOMES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
17320 N LAGO DR
MARICOPA, AZ
ZIP 85138
Phone: (978) 996-6074
Get Directions

PR & A GROUP HOMES 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. PR & A GROUP HOMES LLC NPI is 1740951854. The provider is registered as an organization entity type.

The provider's business location address is:

17320 N LAGO DR
MARICOPA, AZ
ZIP 85138-877
Phone: (978) 996-6074

The provider's authorized official is Paul Racho .
The authorized official title is Ceo and has the following contact phone number (978) 996-6074.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH7015	OTHER	ARIZONA	AZDHS

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

NPI Synchronization or Removal

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