L3 RESIDENTIAL FACILITIES LLC (THE CARIBBEAN HOUSE) NPI 1851554448
Community Based Residential Treatment Facility, Mental Illness in Surprise, AZ
About L3 RESIDENTIAL FACILITIES LLC (THE CARIBBEAN HOUSE)
L3 Residential Facilities Llc (the Caribbean House) is a provider established in Surprise, Arizona specializing in community based residential treatment facility, mental illness. The NPI number of L3 Residential Facilities Llc (the Caribbean House) is 1851554448 and was assigned on July 2008. The practitioner's primary taxonomy code is 320800000X with license number BH 3109 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as L3 Residential Facilities Llc. The authorized official of this NPI record is Elizabeth Singleton (Administrator)
| NPI | 1851554448 |
| Provider Name | L3 RESIDENTIAL FACILITIES LLC (THE CARIBBEAN HOUSE) |
| Provider Location Address | 14567 W CARIBBEAN LN SURPRISE, AZ 85379 |
| Provider Mailing Address | 14567 W CARIBBEAN LN SURPRISE, AZ 85379 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | L3 RESIDENTIAL FACILITIES LLC |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 07-03-2008 |
| Last Update Date | 07-03-2008 |
Primary Taxonomy
| Taxonomy Code | 320800000X |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| Type | Residential Treatment Facilities |
| License No. | BH 3109 |
| License State | AZ |
| Taxonomy Description | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Business Address
L3 RESIDENTIAL FACILITIES LLC
14567 W CARIBBEAN LN
SURPRISE, AZ
ZIP 85379
Phone: (602) 441-2691
Mailing Address
L3 RESIDENTIAL FACILITIES LLC
14567 W CARIBBEAN LN
SURPRISE, AZ
ZIP 85379
Phone: (602) 441-2691
Other Providers at the same location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164749040 | STEPHANIE OAKLEY Individual | Behavior Analyst | 14567 W CARIBBEAN LN SURPRISE, AZ 85379 (623) 214-7511 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.