Healthcare Provider Details

I. General information

NPI: 1699380048
Provider Name (Legal Business Name): ROBINSON GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2020
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 E BAKER DR
TEMPE AZ
85282-7206
US

IV. Provider business mailing address

1735 E BAKER DR
TEMPE AZ
85282-7206
US

V. Phone/Fax

Practice location:
  • Phone: 623-341-7950
  • Fax:
Mailing address:
  • Phone: 623-341-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY J ROBINSON
Title or Position: MEMBER
Credential:
Phone: 623-341-7950