Organization · NPI-2

Ngalle Homes Care

Community Based Residential Treatment Facility, Mental Illness · Mesa, AZ

NPI number1356066237

StatusActive

Last updated in NPPESNov 7, 2022

Details

NPI: 1356066237
Entity type: Organization (NPI-2)
Legal business name: Ngalle Homes Care
Organization subpart: No
Enumeration date: Oct 4, 2022
Certification date: Nov 7, 2022
Last updated: Nov 7, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–	Yes
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
320700000X	Residential Treatment Facility, Physical Disabilities	–	–
323P00000X	Psychiatric Residential Treatment Facility	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–

Practice location

721 E Forge Ave
Mesa, AZ 85204-4916

Phone 602-775-0609 · Fax 480-687-5301

Mailing address

721 E Forge Ave
Mesa, AZ 85204-4916

Phone 602-775-0609

Authorized official

Jerry Ngalle
Ceo
4806875301

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