Provider Demographics
NPI:1356772438
Name:SCOTTSDALE TRAINING AND REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:SCOTTSDALE TRAINING AND REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:KORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-994-5704
Mailing Address - Street 1:7507 E OSBORN RD
Mailing Address - Street 2:BUSINESS
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6425
Mailing Address - Country:US
Mailing Address - Phone:480-994-5704
Mailing Address - Fax:480-994-0491
Practice Address - Street 1:7507 E OSBORN RD
Practice Address - Street 2:BUSINESS
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6425
Practice Address - Country:US
Practice Address - Phone:480-994-5704
Practice Address - Fax:480-994-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251B00000X, 385HR2060X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child