Provider Demographics
NPI:1487895603
Name:HELPING HEARTS RESIDENTIAL FACILITIES 5 LLC
Entity type:Organization
Organization Name:HELPING HEARTS RESIDENTIAL FACILITIES 5 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-441-2691
Mailing Address - Street 1:P.O. BOX 26028
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068
Mailing Address - Country:US
Mailing Address - Phone:602-441-2691
Mailing Address - Fax:602-358-7269
Practice Address - Street 1:8215 W EARLL DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-4718
Practice Address - Country:US
Practice Address - Phone:602-441-2691
Practice Address - Fax:602-358-7269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REJBA EARLL ,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-18
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3148320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness