Individual provider · Type 1 NPI

Steven Illers

Foster Care Agency · Kingman, AZ

NPI number 1780127241 Active

Practice location

3854 Heather Ave
Kingman, AZ 86401-3844

Fax (928) 774-2159

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care 385HR2055X8122828 (AZ)
Foster Care Agency Primary 253J00000X8122828 (AZ)

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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About NPI 1780127241

Steven Illers's National Provider Identifier is 1780127241, issued on Nov 30, 2016. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Kingman, AZ. The record was last updated on Feb 4, 2021.