YOUNG LIFE AL INC. (NPI# 1245847664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245847664 |
Entity Type | Organization |
Organization Name | YOUNG LIFE AL INC. |
Practice Address |
2334 W Rancho Dr Phoenix AZ 85015-2211 |
Mailing Address |
1518 W Orangewood Ave Phoenix AZ 85021-7950 |
Practice Telephone | 6024649557 |
Practice Fax Number | 6024649551 |
Mailing Telephone | 6025611285 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Authorized Official Name | IONUT CALLINI (OPERATIONS DIRECTOR) |
Authorized Official Telephone | 6025611285 |
Is Organization Subpart | Y |
Parent Organization Name | YOUNG LIFE AL INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | DEPARTMENT OF HEALTH SERVICES | BH-6294 | 01 |
Other Name | Type Code |
---|---|
Young Life Behavioral Healthcare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821533613 | Young Life Al Inc. | Assisted Living Facility | 2411 W Rancho Dr, Phoenix, AZ 85015-2214 | 2017-01-03 |
Street Address |
2334 W RANCHO DR |
City | PHOENIX |
State | AZ |
Zip Code | 85015-2211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811526148 | Phoenix Comfort Homes LLC | Assisted Living Facility | 17643 N 17th St, Phoenix, AZ 85022-2113 | 2020-04-07 |
1225697386 | Alpine Villa LLC | Assisted Living Facility | 2144 W Luke Ave, Phoenix, AZ 85015-2319 | 2019-06-11 |
1225510118 | Adagio Luxury 4 LLC | Assisted Living Facility | 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 | 2018-09-06 |
1528446648 | Prats Care Home L.L.C. | Assisted Living Facility | 13401 N 30th St, Phoenix, AZ 85032-6028 | 2015-05-08 |
1871914408 | A1 Universal Care Inc | Assisted Living Facility | 2529 W Vista Ave, 102, Phoenix, AZ 85051-6783 | 2013-12-27 |
1548582679 | Baraka House LLC | Assisted Living Facility | 15402 N 29th Ave, Phoenix, AZ 85053-4003 | 2010-02-16 |
1902034424 | Brett Calabro's Home | Assisted Living Facility | 4002 W Sharon Ave, Phoenix, AZ 85029-1044 | 2009-06-23 |
1013172352 | Visionz Alliance LLC | Assisted Living Facility | 351 W Sumerset Dr, Phoenix, AZ 85023-7425 | 2008-07-25 |
1104084383 | Baraka House LLC | Assisted Living Facility | 13619 N 36th Ave, Phoenix, AZ 85029-1103 | 2008-05-24 |
1609079235 | Baraka House | Assisted Living Facility | 3740 W Caron St, Phoenix, AZ 85051-3340 | 2007-06-10 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.