Copper Heights Bh

LBN: Legacy Senior Management Llc
Copper Heights Bh is an health care organization with primary practice located at 152 N 56Th St Ste B , Mesa AZ 85205-8718. 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. Legacy Senior Management Llc can be contacted via phone (480) 985-0680, or through Leach, Mary Grace via phone (602) 368-8203.

Contact Information

Primary practice address
152 N 56Th St Ste B Mesa AZ 85205-8718
Phone: (480) 985-0680
Fax: (480) 396-6231
Website:
Map and Directions
Authorized official contact:
Name: Leach, Mary Grace
Phone: (602) 368-8203

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH5449 Arizona

Profile Details

NPI number 1780177535
LBN Legal business name Legacy Senior Management Llc
DBA Doing business as Copper Heights Bh
Authorized official Leach, Mary Grace
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2018
Last updated Jun 7th, 2018 - about 6 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 1780177535 NPPES
Arizona Other BH5449 ARIZONA DEPARTMENT OF HEALTH SERVICES

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