Provider Demographics
| NPI: | 1174281554 |
|---|---|
| Name: | SCL COLLEGE OF NURSING |
| Entity type: | Organization |
| Organization Name: | SCL COLLEGE OF NURSING |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ELANGE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | NATHAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DR |
| Authorized Official - Phone: | 480-215-9056 |
| Mailing Address - Street 1: | 7517 W SHUMWAY FARM RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LAVEEN |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85339-7089 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 602-855-0002 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 7517 W SHUMWAY FARM RD |
| Practice Address - Street 2: | |
| Practice Address - City: | LAVEEN |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85339-7089 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-215-9056 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-12-02 |
| Last Update Date: | 2025-05-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| No | 251B00000X | Agencies | Case Management | |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
| No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
