RESCARE ARIZONA INC. NPI 1750857124

NPI Information

NPI: 1750857124
Provider Name: RESCARE ARIZONA, INC.
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
7442 W PORT AU PRINCE LN
PEORIA, AZ
ZIP 85381
Phone: (623) 434-8579
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RESCARE ARIZONA, INC. is an intermediate care facility mentally retarded in Peoria, AZ. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. RESCARE ARIZONA, INC. NPI is 1750857124. The provider is registered as an organization entity type.

The provider's business location address is:

7442 W PORT AU PRINCE LN
PEORIA, AZ
ZIP 85381-447
Phone: (623) 434-8579

The provider's authorized official is Mary A Pank .
The authorized official title is Paralegal and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/23/2018.

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	251C00000X	Day Training, Developmentally Disabled Services				No
2	315P00000X	Intermediate Care Facility, Mentally Retarded				Yes

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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