NPIMap

Organization Active NPI

Young Life Assisted Living Inc

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1124564323
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL2832H Issued in AZ
Legal business name
YOUNG LIFE ASSISTED LIVING INC
Practice address
2711 W Rancho Dr
Phoenix, AZ 85017-2645
Phone
(602) 242-9736
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mr. Ionut Callini
Title
Director of Operations
Phone
(602) 561-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL2832H AZ Primary

Addresses

Primary practice location

2711 W Rancho Dr
Phoenix, AZ 85017-2645

Mailing address

1518 W Orangewood Ave
Phoenix, AZ 85021-7950
Phone (602) 561-1285

Other names 1

  • Young Life AL 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Young Life Al Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1124564323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217950",
            "telephone_number": "602-561-1285",
            "fax_number": "877-780-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W RANCHO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172645",
            "telephone_number": "602-242-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "CALLINI",
        "authorized_official_first_name": "IONUT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-561-1285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL2832H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Life AL 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2017; 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.