Three Springs, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THREE SPRINGS, LLC

Practice address

East Hwy 163 KMPH#81
Kayenta, AZ 86033

Phone

(928) 697-3154

Fax

(928) 674-3156

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By 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

Ms. Brooke Balch

Title

Board of Managers

Phone

(256) 880-3339

Specialties & licenses 1

Addresses

Tax ID family

Three Springs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Three Springs, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pittsboro, NC
  • NPI 1497788665
  NPD tax ID

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1639491681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLE TREE LANE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-880-3339",
            "fax_number": "256-880-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST HWY 163 KMPH#81",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-3154",
            "fax_number": "928-674-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BALCH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "BOARD OF MANAGERS",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace J Tallis, RN
• Melanie Tarutani, O.D.
• Nuri Tawwab, PHARMD
• Lorraine Thomas, RN
• Roxanne Natalie Thomas
• Rene Venzon Ticsay, RT
• Freida Todecheene
• Ksenija Topic, D.P.M.
• TRC - Four Corners Dialysis Clinics LLC (Kayenta Dialysis)
• Jodawna Renee Tso, RN

• Mental Illness Community Based Residential Treatment Facility in Kayenta, AZ
• Providers in Kayenta, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.