NPIMap

Organization Active NPI

Young Life Al Inc.

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
National Provider Identifier
1245847664
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
YOUNG LIFE AL INC.
Practice address
2334 W Rancho Dr
Phoenix, AZ 85015-2211
Phone
(602) 464-9557
Fax
(602) 464-9551
NPI assigned
Sep 29, 2020
Organization subpart
Yes
Parent organization
YOUNG LIFE AL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2334 W Rancho Dr
Phoenix, AZ 85015-2211

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
BH-6294OtherAZDEPARTMENT OF HEALTH SERVICES

Other names 1

  • Young Life Behavioral Healthcare Doing business as

National Provider Directory

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

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1245847664",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W RANCHO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152211",
            "telephone_number": "602-464-9557",
            "fax_number": "602-464-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE AL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG LIFE AL INC.",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "CALLINI",
        "authorized_official_first_name": "IONUT",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-561-1285"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH-6294",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Life Behavioral Healthcare",
            "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 Sep 29, 2020; 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.