Provider Demographics
NPI:1841446937
Name:HELPING HEARTSRESIDENTIAL FACILITIES # 2, LLC
Entity type:Organization
Organization Name:HELPING HEARTSRESIDENTIAL FACILITIES # 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-441-2691
Mailing Address - Street 1:PO BOX 26028
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-6028
Mailing Address - Country:US
Mailing Address - Phone:602-441-2691
Mailing Address - Fax:602-358-7269
Practice Address - Street 1:18215 N 11TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-1464
Practice Address - Country:US
Practice Address - Phone:602-441-2691
Practice Address - Fax:602-358-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH 3147322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children