Organization Active NPI

Remuda Ranch RLP

  • Psychiatric Residential Treatment Facility
  • Wickenburg, AZ
National Provider Identifier
1659560803
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
IFBH6963 Issued in AZ
Legal business name
REMUDA RANCH RLP
Practice address
55635 N Vulture Mine Rd
Wickenburg, AZ 85390-4358
Phone
(928) 684-3913
NPI assigned
Oct 23, 2007
Organization subpart
Yes
Parent organization
REMUDA RANCH HOLDING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Ms. Anne Whisler
Title
V.P. of Compliance
Phone
(928) 684-4029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X IFBH6963 AZ Primary

Addresses

Primary practice location

55635 N Vulture Mine Rd
Wickenburg, AZ 85390-4358

Mailing address

19820 N 7TH St Ste 205
Phoenix, AZ 85024-1694
Phone (928) 684-4029

National Provider Directory

National Provider Directory
Part of
Remuda Ranch Holding Company

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1659560803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241694",
            "telephone_number": "928-684-4029",
            "fax_number": "928-684-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55635 N VULTURE MINE RD",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853904358",
            "telephone_number": "928-684-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMUDA RANCH RLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REMUDA RANCH HOLDING COMPANY",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "WHISLER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "V.P. OF COMPLIANCE",
        "authorized_official_telephone_number": "928-684-4029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "IFBH6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.