EUREKA IMPERIAL RESIDENCE
NPI 1679704381
Community Based Residential Treatment Facility, Mental Illness in Gilbert, AZ

Q: What is Eureka Imperial Residence's NPI number?

The NPI number for Eureka Imperial Residence is 1679704381. It was assigned to this organization in the NPPES registry on July 29, 2009.

Q: What is Eureka Imperial Residence's specialty?

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

Active since July 29, 2009

1740 S HERITAGE DRIVE, GILBERT, AZ 85296(480) 264-2647(480) 264-2647 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Eureka Imperial Residence NPPES

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

EUREKA IMPERIAL RESIDENCE (NPI 1679704381) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gilbert, Arizona and active in the NPI registry since July 2009. The organization lists Cornelius Ebai Tanyi, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679704381

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameEUREKA IMPERIAL RESIDENCE

Location Address1740 S HERITAGE DRIVEGilbert, AZ 85296

Mailing Address7110 S Champagne WayGilbert, AZ 85298-9122 · (480) 375-5192 · Fax (480) 821-7860

Phone(480) 264-2647

Fax(480) 264-2647

Organization SubpartNo

Authorized OfficialCornelius Ebai TanyiExecutive Director · (480) 375-5192

Enumeration DateJuly 29, 2009

✔ NPI 1679704381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in AZ · BH3319

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1740 S HERITAGE DRIVE, Gilbert, AZ 85296

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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 Imperial Residence's NPI number?

The NPI number for Eureka Imperial Residence is 1679704381. It was assigned to this organization in the NPPES registry on July 29, 2009.

Where is Eureka Imperial Residence located?

Eureka Imperial Residence is located at 1740 S Heritage Drive, Gilbert, AZ 85296. The listed phone number is (480) 264-2647.

What is Eureka Imperial 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 Imperial Residence was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.