Eureka Imperial Residence
NPI 1649798752 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gilbert, AZ
Eureka Imperial Residence is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Gilbert, AZ (NPI 1649798752).
Provider details
- NPI number
- 1649798752
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Eureka Imperial Residence
- Organization subpart
- Yes
- Authorized official
- Cornelius Tanyi, Program Director(480) 264-2647
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Changing Lives Outpatient Center
Registry dates
- Enumerated
- 2017-09-08
- Last updated
- 2017-09-08
Frequently asked questions
- What is Eureka Imperial Residence's NPI number?
- Eureka Imperial Residence's National Provider Identifier (NPI) is 1649798752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eureka Imperial Residence?
- Eureka Imperial Residence is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Eureka Imperial Residence located?
- Eureka Imperial Residence's practice location on file with NPPES is 633 E Ray Road, Gilbert, AZ 85295.
- What is Eureka Imperial Residence's phone number?
- The practice phone number listed in the NPPES registry for Eureka Imperial Residence is (480) 264-2647.
- Who is the authorized official for Eureka Imperial Residence?
- The authorized official listed on Eureka Imperial 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 Imperial Residence's NPI active?
- Yes — Eureka Imperial Residence's NPI (1649798752) is active in the NPPES registry as of the last update on 2017-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.