NPIMap

Organization Active NPI

Uyi Developmental Center for Children

Doing business as home away from home inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1104981935
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH2362 BH2361 Issued in AZ
Legal business name
UYI DEVELOPMENTAL CENTER FOR CHILDREN
Doing business as
home away from home inc
Practice address
6202 W Oregon Ave
5753 48TH Lane
Glendale, AZ 85301-6632
Phone
(602) 301-0214
NPI assigned
Dec 22, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mr. Richard Aghatise Ayiyi Sr., BACHELOR DEGREE ADMINPI 1508911710
Title
Administrator
Phone
(602) 301-0214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH2362 BH2361 AZ Primary

Addresses

Primary practice location

6202 W Oregon Ave
5753 48TH Lane
Glendale, AZ 85301-6632

Mailing address

5270 N 59TH Ave Ste 11
Glendale, AZ 85301-6764
Phone (623) 934-5291

Other names 1

  • home away from home inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Away From Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1104981935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 N 59TH AVE STE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016764",
            "telephone_number": "623-934-5291",
            "fax_number": "623-934-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 W OREGON AVE",
            "address_2": "5753 48TH LANE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016632",
            "telephone_number": "602-301-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UYI DEVELOPMENTAL CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "AYIYI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "AGHATISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-301-0214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BACHELOR DEGREE ADMI"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH2362 BH2361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "home away from home inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2008; 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.