Williams Sudan Guest Homes is a Private Vehicle based in Chandler, AZ. Williams Sudan Guest Homes practices in Chandler, AZ. The NPI Number for Williams Sudan Guest Homes is 1295965531 and holds a License No. BH-3215 (Arizona).
The current practice location address for Williams Sudan Guest Homes is 15111 E Via De Olivos Rd, Chandler, AZ and can be reached out via phone at 480-751-7483 and via fax at 480-895-8399.
Location: 15111 E Via De Olivos Rd, Chandler, AZ, 85249-7423
Provider Profile Details
NPI Number
1295965531
Provider Name
Williams Sudan Guest Homes
Credential
Provider Entity Type
Organization
Address
15111 E Via De Olivos Rd, Chandler, AZ, 85249-7423
Phone Number
480-751-7483
Fax Number
480-895-8399
Provider Enumeration Date
07/21/2009
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 438547 | 05 | AZ |
Provider Business Practice Location Address Details
Address
15111 E Via De Olivos Rd
City
State
Zip
85249-7423
Phone Number
480-751-7483
Fax Number
480-895-8399
Provider Business Mailing Address Details
Address
15111 E Via De Olivos Rd
City
State
Zip
85249-7423
Phone Number
480-751-7483
Fax Number
480-895-8399
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
BH-3215 (Arizona)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
BH-3215 (Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
BH-3215 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
BH-3215 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Physical Therapy
Taxonomy
License No.
BH-3215 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
BH-3215 (Arizona)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
License No.
BH-3215 (Arizona)
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BBH-3215 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 9
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
BH-3215 (Arizona)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 10
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
BH-3215 (Arizona)
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 supportive counseling services and education services are included.
Provider's Taxonomy Details 11
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
BH-3215 (Arizona)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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