Organization Active NPI

Az Interact LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1073319968
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AZ INTERACT LLC
Practice address
6427 W Wethersfield Rd
Glendale, AZ 85304-1629
Phone
(602) 410-3606
Fax
(623) 398-8980
NPI assigned
Feb 20, 2025
Organization subpart
Yes
Parent organization
AZ INTERACT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carlos Torres
Title
Administrator
Phone
(602) 410-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

6427 W Wethersfield Rd
Glendale, AZ 85304-1629

Mailing address

2325 W Desperado Way
Phoenix, AZ 85085-5777
Phone (602) 410-3606

National Provider Directory

National Provider Directory
Tax ID family
Az Interact LLC6 organizations share this tax ID, including this one
Part of
Az Interact LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1073319968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W DESPERADO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855777",
            "telephone_number": "602-410-3606",
            "fax_number": "623-398-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6427 W WETHERSFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041629",
            "telephone_number": "602-410-3606",
            "fax_number": "623-398-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ INTERACT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AZ INTERACT LLC",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-410-3606"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.