Big John Group Home in Gilbert - Residential Treatment Facility, Emotionally Disturbed Children
Big John Group Home - NPI 1255484366
Big John Group Home is a Residential Treatment Facility, Emotionally Disturbed Children in Gilbert, Arizona. Big John Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Big John Group Home is 1255484366. The last update date is 2020-08-22.
Big John Group Home's current location address is 70 S Val Vista Dr Ste A3 # 44, Gilbert, Arizona. You can contact this provider via phone number 4802022972 and fax number 6235460161. The mailing address for Big John Group Home is 70 S Val Vista Dr Ste A3 # 44, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Big John Group Home |
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Address | 70 S Val Vista Dr Ste A3 # 44, 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 | 1255484366 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 70 S Val Vista Dr Ste A3 # 44 |
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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 | 723636 |
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's 1255484366?
The Big John Group Home's NPI (National Provider Identifier) Number is 1255484366. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Big John Group Home's facilities are situated?
The facilities of Big John Group Home are physically located at the following address: 70 S Val Vista Dr Ste A3 # 44, Gilbert, AZ, 852961375.
What is Big John Group Home's area of expertise and its corresponding taxonomy classification?
The Big John 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 Big John Group Home receive its 1255484366 assignment from the Centers for Medicare & Medicaid Services?
The Big John Group Home was assigned its 1255484366 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Big John Group Home most recently updated or revised?
The details related to Big John Group Home, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.