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NPI Code Detail

MEDICARE: ABRIO FAMILY SERVICES & SUPPORTS

MEDICARE: ABRIO FAMILY SERVICES & SUPPORTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyAZ
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment FacilityAZ
3385H00000XRespite CareAZ
4385HR2060XChild Intellectual and/or Developmental Disabilities Respite CareAZ
5253Z00000XIn Home Supportive Care AgencyAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2042705OTHERAZAHCCCS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437214335
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABRIO FAMILY SERVICES & SUPPORTS
Provider Business Mailing Address
First Line : 4736 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4008
Country : US
Telephone Number : 928-856-1399
Fax Number : 602-840-3612
Provider Business Practice Location Address
First Line : 4736 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4008
Country : US
Telephone Number : 602-875-8500
Fax Number : 602-840-3612
Authorized Official
Title or Position : CEO
Name : MR. RICHARD P HARGROVE
Credential :
Telephone Number : 602-875-8500
Provider Enumeration Date : 12/22/2006
Last Update Date : 08/28/2024

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Directions to “ABRIO FAMILY SERVICES & SUPPORTS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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