Ctb Az, Llc is a
Custodial Care Facility - Adult Care Home based in Tempe, Arizona. Ctb Az, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2075 S Cottonwood Dr, Tempe, Arizona. It can be reached at their office (for appointments etc.) via phone at
(602) 318-2041.
NPI number for Ctb Az, Llc is 1770195612 and their current mailing address is 2401 W Southern Ave Lot 462, Tempe, Arizona. Ctb Az, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1770195612.
Healthcare Provider's Profile
| Full Name | Ctb Az, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Custodial Care Facility - Adult Care Home |
|---|
| Location | 2075 S Cottonwood Dr, Tempe, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770195612
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 08/21/2020
Medical Identifiers
Medical identifiers for Ctb Az, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770195612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Secondary |
| 385HR2060X | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ctb Az, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ctb Az, Llc
2401 W Southern Ave Lot 462,
Tempe, AZ 85282-4342
Ph: (602) 318-2041 | Ctb Az, Llc
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040
Ph: (602) 318-2041 |
Reviews and Comments