Gleneagle Residential Care & Adult Day Treatment Services

LBN: Williams Sudan Guest Homes
Gleneagle Residential Care & Adult Day Treatment Services is an health care organization with primary practice located at 15111 E Via De Olivos Rd , Chandler AZ 85249-7423. The organization recently has 11 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Occupational Medicine, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Substance Abuse Treatment, Children, Transportation Services / Private Vehicle. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Williams Sudan Guest Homes can be contacted via phone (480) 751-7483, or through Willlliams, Evelyn via phone (480) 751-7483.

Contact Information

Primary practice address
15111 E Via De Olivos Rd Chandler AZ 85249-7423
Phone: (480) 751-7483
Fax: (480) 895-8399
Website:
Map and Directions
Authorized official contact:
Name: Willlliams, Evelyn
Phone: (480) 751-7483

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X BH-3215 Arizona
Agencies / Community/Behavioral Health 251S00000X BH-3215 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X BH-3215 Arizona
Ambulatory Health Care Facilities / Methadone 261QM2800X BBH-3215 Arizona
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X BH-3215 Arizona
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X BH-3215 Arizona
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X BH-3215 Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH-3215 Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X BH-3215 Arizona
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X BH-3215 Arizona
Transportation Services / Private Vehicle 347C00000X BH-3215 Arizona

Profile Details

NPI number 1295965531
LBN Legal business name Williams Sudan Guest Homes
DBA Doing business as Gleneagle Residential Care & Adult Day Treatment Services
Authorized official Willlliams, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - about 16 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 1295965531 NPPES
Arizona MEDICAID 438547

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