Active NPI
Az Interact LLC
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
National Provider Identifier
1073319968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
- 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1154781037
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glendale, AZ
- NPI 1427502947
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1518327493
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glendale, AZ
- NPI 1568947364
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1760885347
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.