Provider Demographics
NPI:1205179090
Name:ORION HOMES LLC
Entity Type:Organization
Organization Name:ORION HOMES LLC
Other - Org Name:ORION HOMES - WINDROSE
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-466-3223
Mailing Address - Street 1:4501 W WINDROSE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-2106
Mailing Address - Country:US
Mailing Address - Phone:602-466-3223
Mailing Address - Fax:
Practice Address - Street 1:4501 W WINDROSE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-2106
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:2013-04-01
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness