Kaleidoscope Llc

LBN: Kaleidoscope Llc
Kaleidoscope Llc is an health care organization with primary practice located at 41288 N Cambria Dr , San Tan Valley AZ 85140-3173. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing Service Providers / General Practice, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Kaleidoscope Llc can be contacted via phone (480) 504-3329, or through Trotter, Rabiya via phone (480) 504-3329.

Contact Information

Primary practice address
41288 N Cambria Dr San Tan Valley AZ 85140-3173
Phone: (480) 504-3329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trotter, Rabiya
Phone: (480) 504-3329

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Nursing Service Providers / General Practice 163WG0000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1740819085
LBN Legal business name Kaleidoscope Llc
DBA Doing business as
Authorized official Trotter, Rabiya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2020
Last updated Apr 8th, 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 1740819085 NPPES
Arizona Other BH5381 AZBHS

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