DESERT WINDS BEHAVIORAL HEALTH LLC


Address: 6127 W. Westwind Dr., Glendale, AZ 85310
Phone: 6238790168

DESERT WINDS BEHAVIORAL HEALTH LLC (NPI# 1467699777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467699777
Entity Type Organization
Organization Name DESERT WINDS BEHAVIORAL HEALTH LLC
Practice Address 6127 W. Westwind Dr.
Glendale
AZ 85310
Practice Telephone 6238790168
Practice Fax Number 6238790168
Mailing Telephone 6238790168
Mailing Fax Number 6238790168
Enumeration Date 2009-01-08
Last Update Date 2010-01-28
Authorized Official Name MRS. CAMELIA IGNA (PROGRAM DIRECTOR/ADMINISTRATOR)
Authorized Official Telephone 6238790168
Authorized Official Credential PROGRAM DIRECTOR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management BH3092 AZ Agencies
N 251K00000X Public Health or Welfare BH3092 AZ Agencies
N 251S00000X Community/Behavioral Health BH3092 AZ Agencies
N 320800000X Community Based Residential Treatment Facility, Mental Illness BH3092 AZ Residential Treatment Facilities
N 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
BH3092 AZ Respite Care Facility
Y 320800000X Community Based Residential Treatment Facility, Mental Illness BH-3092 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 486880 01

Office Location

Street Address 6127 W. WESTWIND DR.
City GLENDALE
State AZ
Zip Code 85310

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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City GLENDALE
Zip Code 85310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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