Devereux Foster Care in Glendale - Respite Care, Mental Illness, Child
Devereux Foster Care - NPI 1578630018
Devereux Foster Care is a Respite Care, Mental Illness, Child in Glendale, Arizona. Devereux Foster Care practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Devereux Foster Care is 1578630018. The last update date is 2020-08-22.
Devereux Foster Care's current location address is 5603 W Shangri La Rd, Glendale, Arizona. You can contact this provider via phone number 6239791150. The mailing address for Devereux Foster Care is 5603 W Shangri La Rd, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Devereux Foster Care |
|---|---|
| Address | 5603 W Shangri La Rd, Glendale, Arizona |
| Phone Number | 6239791150 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FOSTER PAR |
|---|---|
| Authorized Official Name | Zambrano Maria |
| Telephone Number | 6239791150 |
NPI Number Detail
| NPI Number | 1578630018 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5603 W Shangri La Rd |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853043851 |
| Phone Number | 6239791150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 11355 |
|
Definition: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116658 | AZ | AHCCCS ID NUMBER |
Post Comment/ Review Below
What is the Devereux Foster Care's 1578630018?
The Devereux Foster Care's NPI (National Provider Identifier) Number is 1578630018. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Devereux Foster Care is physically located?
The Devereux Foster Care is situated at the following address: 5603 W Shangri La Rd, Glendale, AZ 853043851.
What is Devereux Foster Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Devereux Foster Care is Respite Care, Mental Illness, Child, and the taxonomy code that categorizes this field of expertise is 385Hr2055X.
On what date did the Devereux Foster Care receive the assignment of its 1578630018 from the Centers for Medicare & Medicaid Services?
The Devereux Foster Care was issued its 1578630018 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date was the information regarding Devereux Foster Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Devereux Foster Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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