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EUREKA ANNEX RESIDENCE
NPI 1043634769
Community Based Residential Treatment Facility, Mental Illness in Gilbert, AZ

Active since February 17, 2014
2668 S HERITAGE DR, GILBERT, AZ 85295(480) 264-2647 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eureka Annex Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUREKA ANNEX RESIDENCE (NPI 1043634769) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gilbert, Arizona and active in the NPI registry since February 2014. The organization lists Cornelius Tanyi, Program Director, as its authorized official.

NPPES Registry Identity

NPI1043634769
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEUREKA ANNEX RESIDENCE
Location Address2668 S HERITAGE DRGilbert, AZ 85295-7164
Mailing Address1740 S Heritage DrGilbert, AZ 85295-4851 · (480) 264-2647
Phone(480) 264-2647
Organization SubpartYesParent: Eureka Imperial Residence
Authorized OfficialCornelius TanyiProgram Director · (480) 264-2647
Enumeration DateFebruary 17, 2014
✔ NPI 1043634769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2668 S HERITAGE DR, Gilbert, AZ 85295
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eureka Annex Residence's NPI number?

The NPI number for Eureka Annex Residence is 1043634769. It was assigned to this organization in the NPPES registry on February 17, 2014.

Where is Eureka Annex Residence located?

Eureka Annex Residence is located at 2668 S Heritage Dr, Gilbert, AZ 85295. The listed phone number is (480) 264-2647.

What is Eureka Annex Residence's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Eureka Annex Residence was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.