Active NPI
Kewala Corporations
- Mental Illness Community Based Residential Treatment Facility
- Casa Grande, AZ
National Provider Identifier
1073158846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Corporations
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Florence, AZ
- NPI 1922473255
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.