Guthrie Mainstream Services Llc

LBN: Guthrie Mainstream Services Llc
Guthrie Mainstream Services Llc is an health care organization with primary practice located at 727 S Extension Rd , Mesa AZ 85210-2212. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Transportation Services / Private Vehicle. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Guthrie Mainstream Services Llc can be contacted via phone (480) 633-8881, or through Guthrie, Terry Sue via phone (480) 633-8881.

Contact Information

Primary practice address
727 S Extension Rd Mesa AZ 85210-2212
Fax: (480) 633-7095
Website:
Authorized official contact:
Name: Guthrie, Terry Sue

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 7933374 Arizona
Agencies / Home Health 251E00000X 7933374 Arizona
Transportation Services / Private Vehicle 347C00000X 7933374 Arizona

Profile Details

NPI number 1639384282
LBN Legal business name Guthrie Mainstream Services Llc
DBA Doing business as
Authorized official Guthrie, Terry Sue
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
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 1639384282 NPPES
Arizona Other 7933374 AHCCCS PROVIDER ID

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