institution
Guthrie Mainstream Services Llc
Private Vehicle in Mesa, Arizona
NPI 1639384282

Guthrie Mainstream Services Llc is a Private Vehicle based in Mesa, AZ. Guthrie Mainstream Services Llc practices in Mesa, AZ. The NPI Number for Guthrie Mainstream Services Llc is 1639384282 and holds a License No. 7933374 (Arizona).

The current practice location address for Guthrie Mainstream Services Llc is 727 S Extension Rd, Mesa, AZ and can be reached out via phone at 480-633-8881 and via fax at 480-633-7095. You can also correspond with Guthrie Mainstream Services Llc through the mailing address at 727 S EXTENSION RD, MESA, AZ - 85210-2212 (mailing address contact number: 480-633-8881).

Location: 727 S Extension Rd, Mesa, AZ, 85210-2212
institution
Provider Profile Details
NPI Number
1639384282
Provider Name
Guthrie Mainstream Services Llc
Credential
Provider Entity Type
Organization
Address
727 S Extension Rd, Mesa, AZ, 85210-2212
Phone Number
480-633-8881
Fax Number
480-633-7095
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7933374 01 AZ AHCCCS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
727 S Extension Rd
City
State
Zip
85210-2212
Phone Number
480-633-8881
Fax Number
480-633-7095
person
Provider Business Mailing Address Details
Address
727 S Extension Rd
City
State
Zip
85210-2212
Phone Number
480-633-8881
Fax Number
480-633-7095
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
7933374 (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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
7933374 (Arizona)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
7933374 (Arizona)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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