NPIMap

Organization Active NPI

Alliance Behavioral Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1376009928
Registry record updated Feb 19, 2019
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
230 E Frances LN
Gilbert, AZ 85295-1975
Phone
(225) 802-1717
Fax
(480) 840-1613
NPI assigned
Feb 19, 2019
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Mr. Robert Crawford Breedlove
Title
Ceo
Phone
(225) 802-1717

Specialties & licenses 1

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

Addresses

Primary practice location

230 E Frances LN
Gilbert, AZ 85295-1975

Mailing address

4645 S Lakeshore Dr Ste 3
Tempe, AZ 85282-7152
Phone (225) 802-1717

Other practice location 1

4645 S Lakeshore Dr Ste 3
Tempe, AZ 85282-7152
Phone (225) 802-1717

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": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1376009928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 S LAKESHORE DR STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827152",
            "telephone_number": "225-802-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E FRANCES LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951975",
            "telephone_number": "225-802-1717",
            "fax_number": "480-840-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 S Lakeshore Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827152",
            "country_code": "US",
            "telephone_number": "225-802-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "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": "225-802-1717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "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 Feb 19, 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.