Active NPI
Resiliency Integrated Healthcare Services
- Mental Illness Community Based Residential Treatment Facility
- Eloy, AZ
National Provider Identifier
1982945283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- RESILIENCY INTEGRATED HEALTHCARE SERVICES
- Practice address
- 112 E 3Rd Street
Suite 4
Eloy, AZ 85131 - Phone
- (520) 414-7845
- NPI assigned
- Mar 12, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Renee Ekanem
- Title
- Executive Director
- Phone
- (520) 414-7845
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
112 E 3Rd Street
Suite 4
Eloy, AZ 85131
Mailing address
112 E 3Rd Street
Suite 4
Eloy, AZ 85131
Phone (520) 414-7845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2013.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1982945283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E 3RD STREET",
"address_2": "SUITE 4",
"city": "ELOY",
"state": "AZ",
"postal_code": "85131",
"telephone_number": "520-414-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E 3RD STREET",
"address_2": "SUITE 4",
"city": "ELOY",
"state": "AZ",
"postal_code": "85131",
"telephone_number": "520-414-7845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENCY INTEGRATED HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "EKANEM",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "520-414-7845",
"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": []
}
Other providers in Eloy, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.