1514 Bethany Home Management, Llc

LBN: 1514 Bethany Home Management, Llc
1514 Bethany Home Management, Llc is an health care organization with primary practice located at 1514 W Bethany Home Rd , Phoenix AZ 85015-2504. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. 1514 Bethany Home Management, Llc can be contacted via phone (602) 888-6779, or through Guajardo, James via phone (480) 384-0789.

Contact Information

Primary practice address
1514 W Bethany Home Rd Phoenix AZ 85015-2504
Phone: (602) 888-6779
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guajardo, James
Phone: (480) 384-0789

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1801369632
LBN Legal business name 1514 Bethany Home Management, Llc
DBA Doing business as
Authorized official Guajardo, James
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2019
Last updated Jan 3rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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