Organization · Type 2 NPI

Loloma Houses LLC

Community/Behavioral Health Agency · Glendale, AZ

NPI number 1407482268 Active

Practice location

6125 W Sunnyside Dr
Glendale, AZ 85304-2533

Call (623) 418-6657 Map

Mailing address

8408 W Willow Ave
Peoria, AZ 85381-4864

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1407482268
Entity type: Organization (Type 2)
Issued: Mar 12, 2020
Last updated: Mar 27, 2020
Status: Active
Subpart: Yes of Loloma House LLC

Other names

<unavail>
Loloma House at Greenway · doing business as
Loloma House at Greenway · doing business as
Loloma House at Sunnyside · doing business as

Authorized official

Mrs. Laura Adiloba Hornback
Owner / Administrator
(623) 418-6657

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407482268

Loloma Houses LLC's National Provider Identifier is 1407482268, issued on Mar 12, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Glendale, AZ. The record was last updated on Mar 27, 2020.