EAGLEDANCER YOUTH AND FAMILY SERVICES, INC. – NPI #1730375668
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.
EAGLEDANCER YOUTH AND FAMILY SERVICES, INC. is a residential treatment facility located in WHITERIVER, AZ. NPPES has assigned the NPI number 1730375668 to EAGLEDANCER YOUTH AND FAMILY SERVICES, INC. on September 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 15 years ago on Mar 15, 2011. 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 EAGLEDANCER YOUTH AND FAMILY SERVICES, INC. below.
NPI Profile for
EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
(more than 18 years ago)
WHITERIVER, AZ 85941 Phone: (928) 338-2312 Fax: (928) 338-2313
1323 LOBO TRAIL
SNOWFLAKE, AZ 85937-5407 Phone: (928) 227-3950 Fax:
EXECUTIVE DIRECTOR
Phone: (928) 229-0560
Identifiers for EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.
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 |
|---|---|---|---|
| MEDICAID | AZ | 263967 |
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 | |
| 324500000X - Substance Abuse Rehabilitation Facility |
AZ | |
| 320800000X - Community Based Residential Treatment Facility, Mental Illness |
AZ |
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.