CLARENCE & JEANNE KINSLEY, DBA
NPI 1255703229
Respite Care - Respite Care, Mental Illness, Child in Dewey, AZ

Active since October 29, 2015
17100 E. LIONS CROSSING RD, DEWEY, AZ 86327(928) 772-8070 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Respite Care
  • Respite Care, Mental Illness, Child

About CLARENCE & JEANNE KINSLEY, DBA

This page provides the complete NPI Profile along with additional information for Clarence & Jeanne Kinsley, Dba, a provider established in Dewey, Arizona operating as a Respite Care, focusing in respite care, mental illness, child . The healthcare provider is registered in the NPI registry with number 1255703229 assigned on October 2015. The practitioner's primary taxonomy code is 385HR2055X with license number BH4541 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jeanne Marie Kinsley (Owner/childrens Respite Provider)

NPI
1255703229 Verify this NPI
Provider Name
CLARENCE & JEANNE KINSLEY, DBA
Entity Type
Organization
Location Address
17100 E. LIONS CROSSING RD DEWEY, AZ 86327
Location Phone
(928) 772-8070
Mailing Address
PO BOX 102 DEWEY, AZ 86327
Mailing Phone
(928) 772-8070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2015
Last Update Date
10-29-2015
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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

Respite Care Respite Care, Mental Illness, Child

Taxonomy Code
385HR2055X
Type
Respite Care Facility
License No.
BH4541
License State
AZ
Taxonomy Description
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEANNE MARIE KINSLEY

Authorized Official Title
OWNER/CHILDRENS RESPITE PROVIDER
Authorized Official Phone
(928) 772-8070

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255703229, enumerated as an "organization" on October 29, 2015.

The provider is located at 17100 E. LIONS CROSSING RD DEWEY, AZ 86327 and the phone number is (928) 772-8070.

Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.