FAIRLANE GROUP HOME LLC
NPI 1700528650
Psychiatric Residential Treatment Facility in Casa Grande, AZ

Active since April 11, 2022
821 W FAIRLANE CT, CASA GRANDE, AZ 85122(602) 421-4663(602) 610-5557 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairlane Group Home Llc NPPES

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

FAIRLANE GROUP HOME LLC (NPI 1700528650) is a healthcare organization registered as a psychiatric residential treatment facility in Casa Grande, Arizona and active in the NPI registry since April 2022. The organization lists Gabriella Foster, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1700528650
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameFAIRLANE GROUP HOME LLC
Location Address821 W FAIRLANE CTCasa Grande, AZ 85122-6688
Mailing Address16994 W Rio Vista LnGoodyear, AZ 85338-7409 · (602) 421-4663 · Fax (602) 610-5557
Fax(602) 610-5557
Organization SubpartNo
Authorized OfficialGabriella FosterDirector Of Operations · (602) 421-4663
Enumeration DateApril 11, 2022
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1700528650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
821 W FAIRLANE CT, Casa Grande, AZ 85122

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 Fairlane Group Home LLC's NPI number?

The NPI number for Fairlane Group Home LLC is 1700528650. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Fairlane Group Home LLC located?

Fairlane Group Home LLC is located at 821 W Fairlane Ct, Casa Grande, AZ 85122. The listed phone number is (602) 421-4663.

What is Fairlane Group Home LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Fairlane Group Home LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.