Martha'S Residential Care Llc
LBN: Martha'S Residential Care Llc
Martha'S Residential Care Llc is an health care organization with primary practice located at 8572 W Palo Verde Ave , Peoria AZ 85345-5354. 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.
Martha'S Residential Care Llc can be contacted via phone (480) 217-6996, or through Tunis, Saffiatu S via phone (480) 217-6996.
Contact Information
Primary practice address
8572 W Palo Verde Ave
Peoria AZ 85345-5354
Phone: (480) 217-6996
Fax: (480) 452-0243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH4469 | Arizona |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH4907 | Arizona |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1962818187 |
|---|---|
| LBN Legal business name | Martha'S Residential Care Llc |
| DBA Doing business as | |
| Authorized official | Tunis, Saffiatu S PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2014 |
| Last updated | Aug 16th, 2021 - 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 | 1962818187 | NPPES |
| Arizona | Other | BH6971 | LICENSE |
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