Healthcare Provider Details

I. General information

NPI: 1457093015
Provider Name (Legal Business Name): SCHWEICHLER ADULT CARE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 E FRUITVALE CT
GILBERT AZ
85297-9478
US

IV. Provider business mailing address

2118 S ROANOKE ST
GILBERT AZ
85295-9106
US

V. Phone/Fax

Practice location:
  • Phone: 480-861-0874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL JOHN SCHWEICHLER
Title or Position: MANAGING MEMBER
Credential: PE, SE
Phone: 480-861-0874