SEQUELCARE OF ARIZONA, LLC – NPI #1184712143
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
SEQUELCARE OF ARIZONA, LLC is a community based residential treatment facility located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1184712143 to SEQUELCARE OF ARIZONA, LLC on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SEQUELCARE OF ARIZONA, LLC is also known by the name KATILIN RANCH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 14 years ago on Apr 12, 2012. 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 SEQUELCARE OF ARIZONA, LLC below.
NPI Profile for
SEQUELCARE OF ARIZONA, LLC
(more than 19 years ago)
FLAGSTAFF, AZ 86004 Phone: (928) 526-1499 Fax: (928) 526-1151
STE. A
PRESCOTT VALLEY, AZ 86314 Phone: (928) 777-3280 Fax: (928) 778-1252
DEPUTY DIRECTOR
Phone: (928) 777-3280
Identifiers for SEQUELCARE OF ARIZONA, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AHCCCS ID | AZ | 717407 |
| MEDICAID | AZ | 871211 |
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 |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
AZ | BH-3337 |
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children |
AZ | BH-3337 |
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.