Healthcare Provider Details

I. General information

NPI: 1003382458
Provider Name (Legal Business Name): BEST CARE BEHAVIORAL HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 04/10/2024
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13190 CENTRAL AVE
MAYER AZ
86333
US

IV. Provider business mailing address

P.O. BOX 158
AVONDALE AZ
85323-0062
US

V. Phone/Fax

Practice location:
  • Phone: 928-793-2216
  • Fax: 602-687-9274
Mailing address:
  • Phone: 602-675-1686
  • Fax: 602-675-1703

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: MYRRIE HAYES
Title or Position: CFO
Credential:
Phone: 602-675-1686