Organization Active NPI

Resiliency Integrated Healthcare Services

  • Mental Illness Community Based Residential Treatment Facility
  • Eloy, AZ
National Provider Identifier
1982945283
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.