Big John Group Home, Llc in Gilbert - Residential Treatment Facility, Emotionally Disturbed Children
Big John Group Home, Llc - NPI 1598812836
Big John Group Home, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Gilbert, Arizona. Big John Group Home, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Big John Group Home, Llc is 1598812836. The last update date is 2020-08-22.
Big John Group Home, Llc's current location address is 70 S Val Vista Dr Ste A3, Gilbert, Arizona. You can contact this provider via phone number 4802022972 and fax number 6235460161. The mailing address for Big John Group Home, Llc is 70 S Val Vista Dr Ste A3, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Big John Group Home, Llc |
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Address | 70 S Val Vista Dr Ste A3, Gilbert, Arizona |
Phone Number | 4802022972 |
Fax Number | 6235460161 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Edwards Kay Stephanie |
Telephone Number | 4802022972 |
NPI Number Detail
NPI Number | 1598812836 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 70 S Val Vista Dr Ste A3 |
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City | Gilbert |
State | Arizona (AZ) |
Post Code | 852961375 |
Phone Number | 4802022972 |
Fax Number | 6235460161 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | BH-1735 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Big John Group Home, Llc's unique identification number?
The Big John Group Home, Llc has been assigned the NPI (National Provider Identifier) Number 1598812836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Big John Group Home, Llc is geographically located?
The Big John Group Home, Llc is physically situated at the following location: 70 S Val Vista Dr Ste A3, Gilbert, AZ, 852961375.
What is the area of specialization for Big John Group Home, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Big John Group Home, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date was the 1598812836 assigned to Big John Group Home, Llc?
The Big John Group Home, Llc was issued its 1598812836 on 2007-01-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Big John Group Home, Llc most recently updated?
The details pertaining to the Big John Group Home, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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