Twin Hearts LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TWIN HEARTS LLC

Practice address

15223 W Taylor St
Goodyear, AZ 85338-4115

Phone

(224) 595-0112

NPI assigned

May 21, 2022

Last updated

May 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Vandyck

Title

Manager

Phone

(224) 595-0110

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1073251948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15223 W TAYLOR ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384115",
            "telephone_number": "224-595-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 W TAYLOR ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384115",
            "telephone_number": "224-595-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "VANDYCK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-595-0110"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.