BORABORA INTEGRATED HEALTH SYSTEM – NPI #1568103182
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BORABORA INTEGRATED HEALTH SYSTEM is a residential treatment facility located in PEORIA, AZ. NPPES has assigned the NPI number 1568103182 to BORABORA INTEGRATED HEALTH SYSTEM on April 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BORABORA INTEGRATED HEALTH SYSTEM below.

NPI Profile for
BORABORA INTEGRATED HEALTH SYSTEM

NPI Number
1568103182
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BORABORA INTEGRATED HEALTH SYSTEM
Primary location
9299 W OLIVE AVE STE 404
PEORIA, AZ 85345-8383
Phone: (410) 660-5117 Fax:
Mailing address
4015 W SALTER DR
GLENDALE, AZ 85308-2078
Phone: (410) 660-5117 Fax:
Organization Subpart
No
Authorized Official
KERUBO KINARO
CEO
Phone: (410) 660-5117
Updated
Certification Date
Apr 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.