RESILIENT COMMUNITY CARE LLC NPI 1942894761

NPI Information

  • NPI: 1942894761
  • Provider Name: RESILIENT COMMUNITY CARE LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5039 N 57TH AVE APT 252
    GLENDALE, AZ
    ZIP 85301
  • Phone: (708) 541-5006

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NPI Details

RESILIENT COMMUNITY CARE LLC is a mental health (including community mental health center) clinic center in Glendale, AZ. RESILIENT COMMUNITY CARE LLC NPI is 1942894761. The provider is registered as an organization entity type.

The provider's business location address is:

5039 N 57TH AVE APT 252
GLENDALE, AZ
ZIP 85301-461
Phone: (708) 541-5006

The provider's authorized official is Theresa Nicholas .
The authorized official title is Owner and has the following contact phone number (708) 541-5006.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 5/18/2021.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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: 11/21/2025

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