Fullen Enterprises LLS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSA13ADHS0215 1 Issued in AZ

Legal business name

FULLEN ENTERPRISES LLS

Doing business as

Family and Friends Together

Practice address

10901 W Thunderbird Blvd
Sun City, AZ 85351-2523

Phone

(602) 694-9649

Fax

(623) 977-3374

NPI assigned

Aug 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia L Fullen

Title

Executive Director

Phone

(602) 694-9649

Specialties & licenses 1

Addresses

Other names 1

• Family and Friends Together Doing business as

Tax ID family

Family and Friends Together2 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.

• Family & Friends Together, Inc

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1083003677
  NPD tax ID

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1245664424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853630750",
            "telephone_number": "602-694-9649",
            "fax_number": "623-977-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512523",
            "telephone_number": "602-694-9649",
            "fax_number": "623-977-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLEN ENTERPRISES LLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "FULLEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-694-9649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA13ADHS0215 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family and Friends Together",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph R Fox, DDS
• Alexandra Franklin, FNP
• Howard Ian Friedman, M.D
• Frys Food & Drug
• Full Life Counseling LLC
• Fuller Selle LLC (Trillium Specialty Hospital West Valley)
• Karen L Fuller, PHARMD
• Lacey Fuller
• Todd Gabaldon
• Donica Gaines, BSN, RN

• Community/Behavioral Health Agency in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.