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REIGNING GRACE RANCH NPI 1285132423


NPI Information

NPI: 1285132423
Provider Name: REIGNING GRACE RANCH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
28614 N 172ND STREET
RIO VERDE, AZ
ZIP 85263
Phone: (480) 466-2154
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REIGNING GRACE RANCH is a community behavioral health in Rio Verde, AZ. The provider is 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. REIGNING GRACE RANCH NPI is 1285132423. The provider is registered as an organization entity type.

The provider's business location address is:

28614 N 172ND STREET
RIO VERDE, AZ
ZIP 85263
Phone: (480) 466-2154

The provider's authorized official is Amanda J Moore .
The authorized official title is Executive Director and has the following contact phone number (480) 466-2154.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174200000XMealsNo
2251S00000XCommunity/Behavioral HealthYes
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4347C00000XPrivate VehicleNo
5385HR2050XRespite CareRespite Care CampNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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