Organization Active NPI

Child Enrichment Center LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Phoenix, AZ
National Provider Identifier
1104119411
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
263162747 Issued in WA
Legal business name
CHILD ENRICHMENT CENTER LLC
Practice address
2942 N 24TH St Ste 114642
Phoenix, AZ 85016-7844
Phone
(858) 524-6399
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Ms. Sarah Haws, MSCP, BCBA
Title
Owner
Phone
(808) 284-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 263162747 WA Primary

Addresses

Primary practice location

2942 N 24TH St Ste 114642
Phoenix, AZ 85016-7844

Mailing address

2942 N 24TH St Ste 114642
Phoenix, AZ 85016-7844

Other identifiers 1

IdentifierTypeStateIssuer
26-3162747OtherCATAX ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1104119411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114642",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114642",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844",
            "telephone_number": "858-524-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD ENRICHMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-284-7225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSCP, BCBA"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "WA",
            "license": "263162747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "26-3162747",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.