Provider Demographics
NPI:1851696470
Name:ORION HOMES LLC
Entity Type:Organization
Organization Name:ORION HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-377-5125
Mailing Address - Street 1:8615 W KELTON LN STE 309
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-4758
Mailing Address - Country:US
Mailing Address - Phone:602-466-3223
Mailing Address - Fax:602-441-3981
Practice Address - Street 1:8615 W KELTON LN STE 309
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-4758
Practice Address - Country:US
Practice Address - Phone:602-466-3223
Practice Address - Fax:602-441-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ447935320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities