Provider Demographics
NPI:1124360656
Name:ORION HOMES LLC
Entity Type:Organization
Organization Name:ORION HOMES LLC
Other - Org Name:ORION HOMES - UNION HILLS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-908-5862
Mailing Address - Street 1:7301 W UNION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8150
Mailing Address - Country:US
Mailing Address - Phone:602-466-3223
Mailing Address - Fax:
Practice Address - Street 1:7301 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8150
Practice Address - Country:US
Practice Address - Phone:602-466-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORION HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDDH2151320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities