NPIMap

Organization Active NPI

Alliance Behavioral Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1295353019
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ALLIANCE BEHAVIORAL CARE LLC
Practice address
2840 S Chaparral Blvd
Gilbert, AZ 85295-7675
Phone
(480) 590-6558
Fax
(480) 590-6559
NPI assigned
Jul 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Robert Crawford Breedlove
Title
Ceo
Phone
(480) 590-6558

Specialties & licenses 1

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

Addresses

Primary practice location

2840 S Chaparral Blvd
Gilbert, AZ 85295-7675

Mailing address

4515 S Lakeshore Dr Ste 105
Tempe, AZ 85282-7048
Phone (480) 590-6558

National Provider Directory

National Provider Directory
Tax ID family
Alliance Behavioral Care LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1295353019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 S LAKESHORE DR STE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827048",
            "telephone_number": "480-590-6558",
            "fax_number": "480-590-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 S CHAPARRAL BLVD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957675",
            "telephone_number": "480-590-6558",
            "fax_number": "480-590-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-590-6558"
    },
    "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 Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.