Katilin Ranch
LBN: Sequelcare Of Arizona, Llc
Katilin Ranch is an health care organization with primary practice located at 6070 N. Treadway Trail , Flagstaff AZ 86004. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Sequelcare Of Arizona, Llc can be contacted via phone (928) 526-1499, or through Ramirez, Nadine via phone (928) 777-3280.
Contact Information
Primary practice address
6070 N. Treadway Trail
Flagstaff AZ 86004
Phone: (928) 526-1499
Fax: (928) 526-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-3337 | Arizona |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | BH-3337 | Arizona |
Profile Details
| NPI number | 1184712143 |
|---|---|
| LBN Legal business name | Sequelcare Of Arizona, Llc |
| DBA Doing business as | Katilin Ranch |
| Authorized official | Ramirez, Nadine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Apr 12th, 2012 - about 12 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 | 1184712143 | NPPES |
| Arizona | MEDICAID | 871211 | |
| Arizona | Other | 717407 |
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