Organization Active NPI

Kewala Corporations

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
National Provider Identifier
1073158846
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KEWALA CORPORATIONS
Practice address
556 W Mirage Loop
Casa Grande, AZ 85122-6133
Phone
(623) 703-8083
Fax
(520) 447-7709
NPI assigned
Nov 15, 2019
Last updated
Nov 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kehinde Lawal
Title
Ao
Phone
(623) 703-8083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

556 W Mirage Loop
Casa Grande, AZ 85122-6133

Mailing address

491 E Black Diamond Dr
Casa Grande, AZ 85122-8880
Phone (623) 703-8083

National Provider Directory

National Provider Directory
Tax ID family
Kewala Corporations2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1073158846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E BLACK DIAMOND DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851228880",
            "telephone_number": "623-703-8083",
            "fax_number": "520-447-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 W MIRAGE LOOP",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226133",
            "telephone_number": "623-703-8083",
            "fax_number": "520-447-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWALA CORPORATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "623-703-8083"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.