Potterville Care Llc

LBN: Potterville Care Llc
Potterville Care Llc is an health care organization with primary practice located at 3107 E Franklin Ave , Gilbert AZ 85295-9093. The organization recently has 8 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Health Service, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Community/Behavioral Health is the primary health care specialty. Potterville Care Llc can be contacted via phone (623) 312-8093, or through Ajayi, Taiwo via phone (623) 312-8093.

Contact Information

Primary practice address
3107 E Franklin Ave Gilbert AZ 85295-9093
Phone: (623) 312-8093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ajayi, Taiwo PHD
Phone: (623) 312-8093

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1396475844
LBN Legal business name Potterville Care Llc
DBA Doing business as
Authorized official Ajayi, Taiwo PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2022
Last updated Jun 15th, 2022 - about 2 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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