Organization Active NPI

Quayle Interventional Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Glendale, AZ
National Provider Identifier
1205461696
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
QUAYLE INTERVENTIONAL SERVICES
Practice address
5041 W Northern Ave Ste B
Glendale, AZ 85301-1539
Phone
(480) 508-1077
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Mrs. Angela L Bazemore Quaye, DBH, CFNC, CEAP, SAP
Title
Clinical Director
Phone
(443) 636-0686

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X
Health Service Clinic/Center 261QH0100X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

5041 W Northern Ave Ste B
Glendale, AZ 85301-1539

Mailing address

5041 W Northern Ave Ste B
Glendale, AZ 85301-1539
Phone (480) 508-1077

Other names 1

  • Quayle Interventional Services Other name

National Provider Directory

National Provider Directory

Locations

5155 W Thunderbird Rd
Glendale, AZ 85306
Phone (443) 636-0686

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1205461696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 W NORTHERN AVE STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011539",
            "telephone_number": "480-508-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 W NORTHERN AVE STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011539",
            "telephone_number": "480-508-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAYLE INTERVENTIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE QUAYE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-636-0686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DBH, CFNC, CEAP, SAP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quayle Interventional Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Quayle Interventional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 4, 2025; 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.