Organization Active NPI

Brigitte Geno

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1881022622
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH-4392 Issued in AZ
Legal business name
BRIGITTE GENO
Practice address
8365 N 56TH Dr
Glendale, AZ 85302-6028
Phone
(602) 419-1332
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Brigitte U Geno
Title
Administor
Phone
(602) 419-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH-4392 AZ Primary

Addresses

Primary practice location

8365 N 56TH Dr
Glendale, AZ 85302-6028

Mailing address

8365 N 56TH Dr
Glendale, AZ 85302-6028
Phone (602) 419-1332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1881022622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 N 56TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026028",
            "telephone_number": "602-419-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 N 56TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026028",
            "telephone_number": "602-419-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGITTE GENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "GENO",
        "authorized_official_first_name": "BRIGITTE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "602-419-1332"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.