Organization Active NPI

Epic'S Therapy LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Laveen, AZ
National Provider Identifier
1255079455
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
EPIC'S THERAPY LLC
Practice address
4814 W Ardmore Rd
Laveen, AZ 85339-2123
Phone
(603) 386-9307
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Saied O Bulqaas
Title
Owner/Manager
Phone
(602) 386-9307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

4814 W Ardmore Rd
Laveen, AZ 85339-2123

Mailing address

4814 W Ardmore Rd
Laveen, AZ 85339-2123
Phone (612) 389-1609

Other names 1

  • Epic:s Therapy LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1255079455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 W ARDMORE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392123",
            "telephone_number": "612-389-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 W ARDMORE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392123",
            "telephone_number": "603-386-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC'S THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BULQAAS",
        "authorized_official_first_name": "SAIED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-386-9307"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic:s Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

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