Williams Sudan Guest Homes
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chandler, AZ. Organization (NPI-2).
Details
- NPI
- 1295965531
- Entity type
- Organization (NPI-2)
- Legal business name
- Williams Sudan Guest Homes
- Organization subpart
- No
- Enumeration date
- Jul 21, 2009
- Last updated
- Jul 21, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | BH-3215 | AZ | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | BH-3215 | AZ | |
| 251S00000X | Community/Behavioral Health | BH-3215 | AZ | |
| 261QM0850X | Clinic/Center, Adult Mental Health | BH-3215 | AZ | |
| 261QM2800X | Clinic/Center, Methadone Clinic | BBh-3215 | AZ | |
| 261QP2000X | Clinic/Center, Physical Therapy | BH-3215 | AZ | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | BH-3215 | AZ | |
| 261QX0100X | Clinic/Center, Occupational Medicine | BH-3215 | AZ | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-3215 | AZ | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | BH-3215 | AZ | |
| 347C00000X | Private Vehicle | BH-3215 | AZ |
Other names
- Gleneagle Residential Care & Adult Day Treatment Services (Doing Business As)
Practice location
15111 E Via De Olivos RdChandler, AZ 85249-7423
Phone 480-751-7483 · Fax 480-895-8399
Mailing address
4133 East Glenagele DrChandler, AZ 85249-7423
Phone 480-751-7483 · Fax 480-895-8399
Authorized official
Evelyn Willlliams
Clinical Director
4807517483
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Chandler · All 7,680 providers in Chandler
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