Bethany Ranch Home, Inc in Phoenix - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Bethany Ranch Home, Inc - NPI 1942322425

Bethany Ranch Home, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Phoenix, Arizona. Bethany Ranch Home, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Bethany Ranch Home, Inc is 1942322425. The last update date is 2020-08-22.

Bethany Ranch Home, Inc's current location address is 6130 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6026163470. The mailing address for Bethany Ranch Home, Inc is 6130 N 16th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bethany Ranch Home, Inc
Address 6130 N 16th St, Phoenix, Arizona
Phone Number 6026163470
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Oxley Barbara
Credentials N.M.D., RN
Telephone Number 6026163470

NPI Number Detail

NPI Number 1942322425
Provider Enumeration Date 2007-04-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6130 N 16th St
City Phoenix
State Arizona (AZ)
Post Code 850161705
Phone Number 6026163470
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E2104999 AZ ARIZONA PROVIDER ID

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FAQs about Bethany Ranch Home, Inc

What is the Bethany Ranch Home, Inc's unique identification number?

The Bethany Ranch Home, Inc has been assigned the NPI (National Provider Identifier) Number 1942322425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Bethany Ranch Home, Inc's physical address?

The Bethany Ranch Home, Inc is physically located at 6130 N 16Th St, in the city of Phoenix, AZ, with the postal code 850161705.

What is Bethany Ranch Home, Inc's area of expertise and its corresponding taxonomy classification?

The Bethany Ranch Home, Inc's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.

On what date did Bethany Ranch Home, Inc receive its 1942322425 assignment from the Centers for Medicare & Medicaid Services?

The Bethany Ranch Home, Inc was assigned its 1942322425 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bethany Ranch Home, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bethany Ranch Home, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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