Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eureka Annex Residence

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1043634769

Eureka Annex Residence is a Mental Illness Community Based Residential Treatment Facility in Gilbert, Arizona. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2668 S Heritage Dr
Gilbert, AZ 85295-7164
Phone: (480) 264-2647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1043634769
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEureka Imperial Residence
Authorized official Cornelius Tanyi — Program Director · (480) 264-2647
NPI enumeratedFebruary 17, 2014
Last updated in NPPESFebruary 17, 2014
Mailing address1740 S Heritage Dr, Gilbert, AZ 85295-4851

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