Provider Demographics
NPI:1265104962
Name:A CARING COMMUNITY LLC
Entity type:Organization
Organization Name:A CARING COMMUNITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-299-8430
Mailing Address - Street 1:3931 W SWEETWATER AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1941
Mailing Address - Country:US
Mailing Address - Phone:602-299-8430
Mailing Address - Fax:602-612-4891
Practice Address - Street 1:3931 W SWEETWATER AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1941
Practice Address - Country:US
Practice Address - Phone:602-299-8430
Practice Address - Fax:602-612-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness