institution
Residential Grouphome Services Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1649907148

Residential Grouphome Services Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Residential Grouphome Services Llc practices in Phoenix, AZ. The NPI Number for Residential Grouphome Services Llc is 1649907148 and holds a License No. (Arizona).

The current practice location address for Residential Grouphome Services Llc is 6102 S 37Th Ln, Phoenix, AZ and can be reached out via phone at 602-718-8809.

Location: 6102 S 37Th Ln, Phoenix, AZ, 85042-4551
institution
Provider Profile Details
NPI Number
1649907148
Provider Name
Residential Grouphome Services Llc
Credential
Provider Entity Type
Organization
Address
6102 S 37Th Ln, Phoenix, AZ, 85042-4551
Phone Number
602-718-8809
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103TC0700X 05 AZ
103TA0400X 05 AZ
103TC1900X 05 AZ
103TP2701X 05 AZ
institution
Provider Business Practice Location Address Details
Address
6102 S 37Th Ln
City
State
Zip
85041-5021
Phone Number
602-718-8809
Fax Number
person
Provider Business Mailing Address Details
Address
6102 S 37Th Ln
City
State
Zip
85041-5021
Phone Number
602-718-8809
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
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 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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