Provider Demographics
NPI:1639838584
Name:RN GROUP HOMES
Entity Type:Organization
Organization Name:RN GROUP HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:480-865-4762
Mailing Address - Street 1:19130 E APRICOT LN
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-2441
Mailing Address - Country:US
Mailing Address - Phone:480-865-4762
Mailing Address - Fax:
Practice Address - Street 1:19130 E APRICOT LN
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-2441
Practice Address - Country:US
Practice Address - Phone:480-865-4762
Practice Address - Fax:480-590-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities