Organization Active NPI

Kewala Corporations

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
National Provider Identifier
1922473255
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4748 Issued in AZ
Legal business name
KEWALA CORPORATIONS
Practice address
10829 E Verbina LN
Florence, AZ 85132-7312
Phone
(623) 703-8083
Fax
(520) 447-7709
NPI assigned
Dec 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Authorized official

Name
Kehinde Lawal
Title
Administrator
Phone
(623) 703-8083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4748 AZ Primary

Addresses

Primary practice location

10829 E Verbina LN
Florence, AZ 85132-7312

Mailing address

10829 E Verbina LN
Florence, AZ 85132-7312
Phone (623) 703-8083

National Provider Directory

National Provider Directory
Tax ID family
Kewala Corporations2 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.

NPI Registry JSON

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449878400000",
    "number": "1922473255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10829 E VERBINA LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327312",
            "telephone_number": "623-703-8083",
            "fax_number": "520-447-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10829 E VERBINA LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327312",
            "telephone_number": "623-703-8083",
            "fax_number": "520-447-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWALA CORPORATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-703-8083"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.