Forever Place Behavioral Llc
LBN: Forever Place Behavioral Llc
Forever Place Behavioral Llc is an health care organization with primary practice located at 2356 N Sand Hills Ct , Casa Grande AZ 85122-6664. 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.
Forever Place Behavioral Llc can be contacted via phone (567) 225-4008, or through Evans, Lachoniquie Kierra via phone (567) 225-4008.
Contact Information
Primary practice address
2356 N Sand Hills Ct
Casa Grande AZ 85122-6664
Phone: (567) 225-4008
Fax:
Website:
Authorized official contact:
Name: Evans, Lachoniquie Kierra Registered Nurse (RN)
Phone: (567) 225-4008
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
NPI number | 1376296202 |
---|---|
LBN Legal business name | Forever Place Behavioral Llc |
DBA Doing business as | |
Authorized official | Evans, Lachoniquie Kierra Registered Nurse (RN) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jan 31st, 2022 |
Last updated | Jan 31st, 2022 - about 3 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 | 1376296202 | NPPES |
Arizona | MEDICAID | 1356948954 |
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