ALTA VISTA GROUP HOME – NPI #1215038757
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

ALTA VISTA GROUP HOME is a residential treatment facility located in HEREFORD, AZ. NPPES has assigned the NPI number 1215038757 to ALTA VISTA GROUP HOME on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALTA VISTA GROUP HOME is also known by the name THREE SPRINGS, INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ALTA VISTA GROUP HOME below.

NPI Profile for
ALTA VISTA GROUP HOME

NPI Number
1215038757
Enumeration Date

(more than 19 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
ALTA VISTA GROUP HOME
Other Name: THREE SPRINGS, INC.
Primary location
4108 E RAMSEY RD
HEREFORD, AZ 85615-8917
Phone: (520) 378-6466 Fax: (520) 378-6553
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BROOKE BALCH
CFO
Phone: (256) 880-3339
Updated
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AZ BH2414

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.