Eureka Annex Residence
NPI 1043634769 · Mental Illness Community Based Residential Treatment Facility · Gilbert, AZ
Eureka Annex Residence is a Mental Illness Community Based Residential Treatment Facility organization in Gilbert, AZ (NPI 1043634769).
Provider details
- NPI number
- 1043634769
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Eureka Imperial Residence
- Organization subpart
- Yes
- Authorized official
- Cornelius Tanyi, Program Director(480) 264-2647
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-02-17
- Last updated
- 2014-02-17
Frequently asked questions
- What is Eureka Annex Residence's NPI number?
- Eureka Annex Residence's National Provider Identifier (NPI) is 1043634769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eureka Annex Residence?
- Eureka Annex Residence is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Eureka Annex Residence located?
- Eureka Annex Residence's practice location on file with NPPES is 2668 S Heritage Dr, Gilbert, AZ 85295-7164.
- What is Eureka Annex Residence's phone number?
- The practice phone number listed in the NPPES registry for Eureka Annex Residence is (480) 264-2647.
- Who is the authorized official for Eureka Annex Residence?
- The authorized official listed on Eureka Annex Residence's NPPES record is Cornelius Tanyi, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eureka Annex Residence's NPI active?
- Yes — Eureka Annex Residence's NPI (1043634769) is active in the NPPES registry as of the last update on 2014-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.