605 S 30Th Circle Llc

LBN: 605 S 30Th Circle Llc
605 S 30Th Circle Llc is an health care organization with primary practice located at 605 S 30Th Cir , Mesa AZ 85204-3119. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. 605 S 30Th Circle Llc can be contacted via phone (480) 760-5303, or through Padilla, Stephanie via phone (480) 760-5303.

Contact Information

Primary practice address
605 S 30Th Cir Mesa AZ 85204-3119
Phone: (480) 760-5303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Padilla, Stephanie
Phone: (480) 760-5303

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1649972605
LBN Legal business name 605 S 30Th Circle Llc
DBA Doing business as
Authorized official Padilla, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2023
Last updated Mar 21st, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1649972605 NPPES
Arizona MEDICAID 85-3931252

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