Cactus Sage Llc

LBN: Cactus Sage Llc
Cactus Sage Llc is an health care organization with primary practice located at 6522 W Latona Rd , Laveen AZ 85339-3083. 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. Cactus Sage Llc can be contacted via phone (623) 225-1240, or through Mutwol, Geraldine via phone (623) 225-1240.

Contact Information

Primary practice address
6522 W Latona Rd Laveen AZ 85339-3083
Phone: (623) 225-1240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mutwol, Geraldine
Phone: (623) 225-1240

Health care specialties

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

Profile Details

NPI number 1336881911
LBN Legal business name Cactus Sage Llc
DBA Doing business as
Authorized official Mutwol, Geraldine
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2022
Last updated Apr 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336881911 NPPES
Arizona Other BH7542 AZ DEPARTMENT OF HEALTH SERVICES

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