NPIMap

Organization Active NPI

Align Group Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Queen Creek, AZ
National Provider Identifier
1194450189
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ALIGN GROUP HOME LLC
Practice address
22264 East Pecan Lane
Queen Creek, AZ 85142
Phone
(480) 707-1824
Fax
(480) 597-4007
NPI assigned
Jul 22, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ALIGN GROUP HOME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Benatbragen Nkwanyou Arrey
Title
Administrator
Phone
(480) 707-1824

Specialties & licenses 1

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

Addresses

Primary practice location

22264 East Pecan Lane
Queen Creek, AZ 85142

Mailing address

22264 East Pecan Lane
Queen Creek, AZ 85142
Phone (480) 707-1824

National Provider Directory

National Provider Directory
Tax ID family
Align Group Home LLC3 organizations share this tax ID, including this one
Part of
Align Group Home LLC

Other organizations with this tax ID 2

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": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1194450189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22264 EAST PECAN LANE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-707-1824",
            "fax_number": "480-597-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22264 EAST PECAN LANE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-707-1824",
            "fax_number": "480-597-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN GROUP HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALIGN GROUP HOME LLC",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ARREY",
        "authorized_official_first_name": "BENATBRAGEN",
        "authorized_official_middle_name": "NKWANYOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-707-1824"
    },
    "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 Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.