Arizona Residential Care, Llc

LBN: Arizona Residential Care, Llc
Arizona Residential Care, Llc is an health care organization with primary practice located at 2226 N Avenida El Capitan , Tucson AZ 85705-5741. 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. Arizona Residential Care, Llc can be contacted via phone (520) 882-1986, or through Walker, Kenneth O. via phone (520) 664-5192.

Contact Information

Primary practice address
2226 N Avenida El Capitan Tucson AZ 85705-5741
Phone: (520) 882-1986
Fax: (520) 882-1987
Website:
Map and Directions
Authorized official contact:
Name: Walker, Kenneth O.
Phone: (520) 664-5192

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH2456 Arizona

Profile Details

NPI number 1770681926
LBN Legal business name Arizona Residential Care, Llc
DBA Doing business as
Authorized official Walker, Kenneth O.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1770681926 NPPES
Arizona Other 891467 AHCCCS

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