Vision Group Home in Phoenix - Residential Treatment Facility, Emotionally Disturbed Children
Vision Group Home - NPI 1013117613
Vision Group Home is a Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, Arizona. Vision Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Vision Group Home is 1013117613. The last update date is 2007-07-20.
Vision Group Home's current location address is 714 W Saint Kateri Dr, Phoenix, Arizona. You can contact this provider via phone number 6233085414 and fax number 6022322196. The mailing address for Vision Group Home is 714 W Saint Kateri Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vision Group Home |
|---|---|
| Address | 714 W Saint Kateri Dr, Phoenix, Arizona |
| Phone Number | 6233085414 |
| Fax Number | 6022322196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mattox Ann Keturah |
| Credentials | MBA, M.ED, |
| Telephone Number | 6233085414 |
NPI Number Detail
| NPI Number | 1013117613 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 714 W Saint Kateri Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850415961 |
| Phone Number | 6233085414 |
| Fax Number | 6022322196 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH2597 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Vision Group Home by the Centers for Medicare & Medicaid Services?
The Vision Group Home has been assigned the NPI (National Provider Identifier) 1013117613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vision Group Home's facilities are situated?
The facilities of Vision Group Home are physically located at the following address: 714 W Saint Kateri Dr, Phoenix, AZ, 850415961.
What is Vision Group Home's area of expertise and its corresponding taxonomy classification?
The Vision Group Home's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Vision Group Home receive its 1013117613 assignment from the Centers for Medicare & Medicaid Services?
The Vision Group Home was assigned its 1013117613 by the Centers for Medicare & Medicaid Services on 2007-07-20.
When was the information pertaining to Vision Group Home most recently updated or revised?
The details related to Vision Group Home, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY