TILDA MANOR II


Address: 3583 E Wildhorse Dr, Gilbert, AZ 85297-7745
Phone: 4809885611

TILDA MANOR II (NPI# 1811043524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811043524
Entity Type Organization
Organization Name TILDA MANOR II
Practice Address 3583 E Wildhorse Dr
Gilbert
AZ 85297-7745
Mailing Address 1404 N Ananea
Mesa
AZ 85207-3877
Practice Telephone 4809885611
Practice Fax Number 4809885611
Mailing Telephone 4808308588
Mailing Fax Number 4808308588
Enumeration Date 2007-01-26
Last Update Date 2020-08-22
Authorized Official Name DR. SAMUEL ASHU (ASSISTANT ADMINISTRATOR)
Authorized Official Telephone 6025614800
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility BH2683 AZ Residential Treatment Facilities

Office Location

Street Address 3583 E WILDHORSE DR
City GILBERT
State AZ
Zip Code 85297-7745

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1225653074 Sigma Health and Wellness LLC Nurse Practitioner 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 2020-06-08
1750928727 Emily Paige Stott Specialist/Technologist 4141 E Sidewinder Ct, Gilbert, AZ 85297 2019-12-09
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1366094930 Psa Behavioral Health Agency Community/Behavioral Health 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 2019-07-12
1508337213 Orthopedic Specialists of North America Pllc Physical Therapist 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 2018-12-07
1346766698 Charles Stanley Bailey Optometrist 3098 E. Waterman Way, Gilbert, AZ 85297 2017-08-18
1982155503 Sheli K Jensen Marriage & Family Therapist 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 2016-10-19
1407302763 Kelly Jo Plencner-vega Advanced Practice Midwife 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 2016-08-28
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

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1649730730 Angelic Homes LLC Psychiatric Residential Treatment Facility 2869 E Isaiah Ave, Gilbert, AZ 85298-8776 2019-03-23
1982087334 Horizon Care Homes Frances, LLC Psychiatric Residential Treatment Facility 613 W Devon Ct, Gilbert, AZ 85233-8029 2015-07-02
1053660589 Horizon Care Home Frances,llc Psychiatric Residential Treatment Facility 3904 East Frances Lane, Gilbert, AZ 85295 2012-08-30

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NPI Name Taxonomy Address Enumeration
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1356969828 Live Well Assisted Living LLC Psychiatric Residential Treatment Facility 9210 W Loow Bend Lane, Phoenix, AZ 85037 2020-07-10
1073138673 Hightower Behavioral Health Services Psychiatric Residential Treatment Facility 13206 W Crestvale Dr, Peoria, AZ 85383-5496 2020-06-10
1437773942 Excellent Care LLC Psychiatric Residential Treatment Facility 14029 N 39th Ave, Phoenix, AZ 85053-5438 2020-06-01
1730701517 Jezzob Behavioral Health LLC Psychiatric Residential Treatment Facility 4918 W Apollo Rd, Laveen, AZ 85339-6289 2020-05-14
1235750977 Sagamar Behavioral Care Home, LLC Psychiatric Residential Treatment Facility 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 2020-05-05
1508492703 Rehoboth LLC Psychiatric Residential Treatment Facility 41947 W Rosa Dr, Maricopa, AZ 85138-2550 2020-03-19
1851926661 Cadens Health and Wellness LLC Psychiatric Residential Treatment Facility 5244 W Apollo Rd, Laveen, AZ 85339-6912 2020-03-12
1114552122 Angel Heart Behavioral Health IIi LLC Psychiatric Residential Treatment Facility 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 2020-03-10
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Competitor

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City GILBERT
Zip Code 85297

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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