ARIZONA HEALTH CARE NPI 1972773125

NPI Information

NPI: 1972773125
Provider Name: ARIZONA HEALTH CARE

Doing Business As: WARD MANOR

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1018 E EL CAMINITO DR
PHOENIX, AZ
ZIP 85020
Phone: (602) 944-3453
Get Directions

ARIZONA HEALTH CARE is a community based residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ARIZONA HEALTH CARE NPI is 1972773125. The provider is registered as an organization entity type.
The provider Is Doing Business As Ward Manor.

The provider's business location address is:

1018 E EL CAMINITO DR
PHOENIX, AZ
ZIP 85020-724
Phone: (602) 944-3453

The provider's authorized official is Jackie Moler .
The authorized official title is Vp,coo and has the following contact phone number (602) 230-2222.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 3/4/2008.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		BH-1698	ARIZONA	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	388761	MEDICAID	ARIZONA

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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