American Eagle Boys Ranch, Llc

LBN: American Eagle Boys Ranch, Llc
American Eagle Boys Ranch, Llc is an health care organization with primary practice located at 3536 W Venus Dr , Somerton AZ 85350-7245. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. American Eagle Boys Ranch, Llc can be contacted via phone (928) 726-6764, or through Hansen, Neil via phone (928) 726-6764.

Contact Information

Primary practice address
3536 W Venus Dr Somerton AZ 85350-7245
Phone: (928) 726-6764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Neil
Phone: (928) 726-6764

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-2805 Arizona

Profile Details

NPI number 1669644167
LBN Legal business name American Eagle Boys Ranch, Llc
DBA Doing business as
Authorized official Hansen, Neil
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669644167 NPPES
Arizona MEDICAID 921850

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