Provider Demographics
NPI:1922718345
Name:CARING PATH BEHAVIORAL LLC
Entity Type:Organization
Organization Name:CARING PATH BEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-738-9196
Mailing Address - Street 1:44097 W GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-8859
Mailing Address - Country:US
Mailing Address - Phone:480-738-9196
Mailing Address - Fax:
Practice Address - Street 1:44097 W GARDEN LN
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-8859
Practice Address - Country:US
Practice Address - Phone:480-738-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances