OrganizationActive
Fairlane Group Home LLC
NPI 1700528650 · Psychiatric Residential Treatment Facility · Casa Grande, AZ
Provider details
- NPI number
- 1700528650
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gabriella Foster, Director of Operations(602) 421-4663
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
821 W Fairlane Ct
Casa Grande, AZ 85122-6688
Phone: (602) 421-4663
Fax: (602) 610-5557
Street-level locationGet directions
Mailing address
16994 W Rio Vista Ln
Goodyear, AZ 85338-7409
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.