ALLIANCE BEHAVIORAL CARE LLC
NPI 1144786799
Community Based Residential Treatment Facility, Mental Illness in Goodyear, AZ
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 03D2017953
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 12-20-2026
About ALLIANCE BEHAVIORAL CARE LLC
This page provides the complete NPI Profile along with additional information for Alliance Behavioral Care Llc, a provider established in Goodyear, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1144786799 assigned on February 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Robert Crawford Breedlove (Ceo)
- NPI
- 1144786799 Verify this NPI
- Provider Name
- ALLIANCE BEHAVIORAL CARE LLC
- Entity Type
- Organization
- Location Address
- 16781 W HILTON AVE GOODYEAR, AZ 85338
- Location Phone
- (225) 802-1717
- Location Fax
- (480) 840-1613
- Mailing Address
- 4645 S LAKESHORE DR STE 3 TEMPE, AZ 85282
- Mailing Phone
- (225) 802-1717
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2019
- Last Update Date
- 02-19-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2017953
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- December 21, 2024
- Certificate Expiration Date
- December 20, 2026
- Laboratory Director
- MICHAEL R. BLUMHOFF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Alliance Behavioral Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GOODYEAR, AZ 85338
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144786799, enumerated as an "organization" on February 19, 2019.
The provider is located at 16781 W HILTON AVE GOODYEAR, AZ 85338 and the phone number is (225) 802-1717.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
