Sequelcare Of Arizona, Llc Dba Prescott House
LBN: Brighter Heights Arizona, Llc Dba Prescott House
Sequelcare Of Arizona, Llc Dba Prescott House is an health care organization with primary practice located at 4001 North Catherine Drive , Prescott Valley AZ 86314. 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.
Brighter Heights Arizona, Llc Dba Prescott House can be contacted via phone (928) 775-7118, or through Wilson, Brooke via phone (928) 910-7644.
Contact Information
Primary practice address
4001 North Catherine Drive
Prescott Valley AZ 86314
Phone: (928) 775-7118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-3650 | Arizona |
Profile Details
| NPI number | 1780777540 |
|---|---|
| LBN Legal business name | Brighter Heights Arizona, Llc Dba Prescott House |
| DBA Doing business as | Sequelcare Of Arizona, Llc Dba Prescott House |
| Authorized official | Wilson, Brooke |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780777540 | NPPES |
| Arizona | Other | BH3650 | LIC# |
| Arizona | Other | BH4980 | LIC# |
| Arizona | MEDICAID | 560284 | LIC# |
| Arizona | Other | 560284 | LIC# |
| Arizona | Other | BH-3650 | LIC# |
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