Provider Demographics
NPI:1427645779
Name:FALCONS CARE LLC
Entity type:Organization
Organization Name:FALCONS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-626-7435
Mailing Address - Street 1:2205 W DUNBAR DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6699
Mailing Address - Country:US
Mailing Address - Phone:702-626-7435
Mailing Address - Fax:
Practice Address - Street 1:2205 W DUNBAR DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6699
Practice Address - Country:US
Practice Address - Phone:702-626-7435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness