A Heart of Gold Home LLC
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · San Tan Valley, AZ
NPI 1508622960 · NPPES record last updated Feb 23, 2024
Key facts
- NPI
- 1508622960
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- A HEART OF GOLD HOME LLC
- Practice address
- 1958 E Renegade TRL
San Tan Valley, AZ 85143-4460 - Phone
- (928) 250-9436
- NPI assigned
- Feb 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Leighann Johnson
- Title
- Owner
- Phone
- (928) 250-9436
Practitioners 1
-
Leighann Johnson, GROUP HOME OWNER
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
1958 E Renegade TRL
San Tan Valley, AZ 85143-4460
Mailing address
1958 E Renegade TRL
San Tan Valley, AZ 85143-4460
Other providers in San Tan Valley, AZ
- A-Plus Care, LLC
- Able Kids Az LLC
- Margie Abualkhail
- Maama Abukari
- Action for Community Treatment Services ,LLC
All providers in San Tan Valley, AZ · Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.