Bethany Ranch Home, Inc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Phoenix, AZ and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Bethany Ranch Home, Inc practices in Phoenix, AZ. The NPI Number for Bethany Ranch Home, Inc is 1942322425 and holds a License No. (Arizona).
The current practice location address for Bethany Ranch Home, Inc is 6130 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-616-3470.
Location: 6130 N 16Th St, Phoenix, AZ, 85016-1705
Provider Profile Details
NPI Number
1942322425
Provider Name
Bethany Ranch Home, Inc
Credential
Provider Entity Type
Organization
Address
6130 N 16Th St, Phoenix, AZ, 85016-1705
Phone Number
602-616-3470
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2104999 | 01 | AZ | ARIZONA PROVIDER ID |
Provider Business Practice Location Address Details
Address
6130 N 16Th St
City
State
Zip
85016-1705
Phone Number
602-616-3470
Fax Number
Provider Business Mailing Address Details
Address
6130 N 16Th St
City
State
Zip
85016-1705
Phone Number
602-616-3470
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
(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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
(Arizona)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(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 6
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider's Taxonomy Details 7
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
(Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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