ESTRELLA VISTA RANCH LLC – NPI #1689834103
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.
ESTRELLA VISTA RANCH LLC is a residential treatment facility located in DRAGOON, AZ. NPPES has assigned the NPI number 1689834103 to ESTRELLA VISTA RANCH LLC on June 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.
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 ESTRELLA VISTA RANCH LLC below.
NPI Profile for
ESTRELLA VISTA RANCH LLC
(about 18 years ago)
DRAGOON, AZ 85609 Phone: (520) 586-9254 Fax:
DRAGOON, AZ 85609-0235 Phone: Fax:
PRESIDENT
Phone: (602) 206-7687
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 | BH-3062 |
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.