Organization
NGALLE HOMES CARE
Active
Organization
NGALLE HOMES CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NGALLE MD (CEO)
(480) 687-5301
Entity
Organization
Contact information
Practice address
721 E FORGE AVE, MESA, AZ 85204-4916
(602) 775-0609
(480) 687-5301
Mailing address
721 E FORGE AVE, MESA, AZ 85204-4916
(602) 775-0609
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/04/2022
Last updated
11/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up