NPIMap

Organization Active NPI

Konkrete Rose Youth and Family Services LLC

Doing business as Konkrete Rose YFS

  • Community/Behavioral Health Agency
  • Gilbert, AZ
National Provider Identifier
1225743099
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KONKRETE ROSE YOUTH AND FAMILY SERVICES LLC
Doing business as
Konkrete Rose YFS
Practice address
929 N Val Vista Dr Ste 1091197
Gilbert, AZ 85234-3706
Phone
(602) 552-2381
NPI assigned
Jan 17, 2023
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Lauryn MayNPI 1295579357
Title
Owner
Phone
(602) 552-2381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

929 N Val Vista Dr Ste 1091197
Gilbert, AZ 85234-3706

Mailing address

4262 E Washington CT
Gilbert, AZ 85234-7791
Phone (602) 552-2381

Other names 1

  • Konkrete Rose YFS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Konkrete Rose Yfs2 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.

Locations

929 N Val Vista Dr
Ste 1091197
Gilbert, AZ 85234
Phone (602) 552-2381

Practitioners & affiliated clinicians

Practitioners 3

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1225743099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 E WASHINGTON CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347791",
            "telephone_number": "602-552-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N VAL VISTA DR STE 1091197",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343706",
            "telephone_number": "602-552-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONKRETE ROSE YOUTH AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "LAURYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-552-2381"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Konkrete Rose YFS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.