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
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
Authorized Official Name Edwards Kay Stephanie
Telephone Number 4802022972

NPI Number Detail

NPI Number 1598812836
Provider Enumeration Date 2007-01-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 70 S Val Vista Dr Ste A3
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
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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FAQs about Big John Group Home, Llc

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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