Organization Active NPI

Arukah Living II LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
National Provider Identifier
1083422836
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ARUKAH LIVING II LLC
Practice address
319 N 2ND Ave
Avondale, AZ 85323-1807
Phone
(480) 925-9065
NPI assigned
Dec 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Mrs. Eboni Worsley
Title
Ceo
Phone
(480) 925-9065

Specialties & licenses 1

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

Addresses

Primary practice location

319 N 2ND Ave
Avondale, AZ 85323-1807

Mailing address

5335 W Sweet Pea Ter
Laveen, AZ 85339-5430
Phone (480) 925-9065

Other practice location 1

535 E Agua Fria Ln
Avondale, AZ 85323-2717
Phone (480) 925-9065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1083422836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 W SWEET PEA TER",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395430",
            "telephone_number": "480-925-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N 2ND AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231807",
            "telephone_number": "480-925-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E Agua Fria Ln",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853232717",
            "country_code": "US",
            "telephone_number": "480-925-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARUKAH LIVING II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "WORSLEY",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-925-9065",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.