Tri-Phase Group Home Inc in Goodyear - Substance Abuse Treatment, Children
Tri-Phase Group Home Inc - NPI 1396914735
Tri-Phase Group Home Inc is a Substance Abuse Treatment, Children in Goodyear, Arizona. Tri-Phase Group Home Inc practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Tri-Phase Group Home Inc is 1396914735. The last update date is 2008-06-26.
Tri-Phase Group Home Inc's current location address is 18403 W Verdin Rd, Goodyear, Arizona. You can contact this provider via phone number 6234746326 and fax number 6234746516. The mailing address for Tri-Phase Group Home Inc is 18403 W Verdin Rd, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Phase Group Home Inc |
|---|---|
| Address | 18403 W Verdin Rd, Goodyear, Arizona |
| Phone Number | 6234746326 |
| Fax Number | 6234746516 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mckinney Sherri |
| Telephone Number | 6234746326 |
NPI Number Detail
| NPI Number | 1396914735 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 18403 W Verdin Rd |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853385081 |
| Phone Number | 6234746326 |
| Fax Number | 6234746516 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | BH-1914 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 873770 | AZ | AHCCCS |
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What is the unique 10-digit identification code issued to Tri-Phase Group Home Inc by the Centers for Medicare & Medicaid Services?
The Tri-Phase Group Home Inc has been assigned the NPI (National Provider Identifier) 1396914735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tri-Phase Group Home Inc's physical address?
The Tri-Phase Group Home Inc is physically located at 18403 W Verdin Rd, in the city of Goodyear, AZ, with the postal code 853385081.
What is Tri-Phase Group Home Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tri-Phase Group Home Inc is Substance Abuse Treatment, Children, and the taxonomy classification code that categorizes this area of expertise is 3245S0500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396914735 to Tri-Phase Group Home Inc?
The Tri-Phase Group Home Inc received its 1396914735 assignment from the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the information regarding Tri-Phase Group Home Inc most recently updated?
The details pertaining to the Tri-Phase Group Home Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-26.
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