Organization
BETHANY RANCH HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA OXLEY N.M.D., RN, BSN, MSN (EXECUTIVE DIRECTOR)
(602) 616-3470
Entity
Organization
Contact information
Practice address
6130 N 16TH ST, PHOENIX, AZ 85016-1705
(602) 616-3470
Mailing address
6130 N 16TH ST, PHOENIX, AZ 85016-1705
(602) 616-3470
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
AZ
261QD1600X
Developmental Disabilities Clinic/Center
—
AZ
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
AZ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
AZ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
AZ
347C00000X
Private Vehicle
—
AZ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2104999
ARIZONA PROVIDER ID
AZ
Enumeration date
04/04/2007
Last updated
09/11/2025
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