Active NPI
Just Amazing Children LLC
- Mental Illness Community Based Residential Treatment Facility
- Mesa, AZ
National Provider Identifier
1265020176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- JUST AMAZING CHILDREN LLC
- Practice address
- 8540 E Navarro Ave
Mesa, AZ 85209-7306 - Phone
- (602) 432-7827
- NPI assigned
- Jan 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fidel Davila
- Title
- Ceo
- Phone
- (602) 432-7827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
8540 E Navarro Ave
Mesa, AZ 85209-7306
Mailing address
8540 E Navarro Ave
Mesa, AZ 85209-7306
Phone (602) 432-7827
Other names 1
- JAC Behavioral Health Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fidel@powerhouseyf.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1265020176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 E NAVARRO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852097306",
"telephone_number": "602-432-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8540 E NAVARRO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852097306",
"telephone_number": "602-432-7827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST AMAZING CHILDREN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "DAVILA",
"authorized_official_first_name": "FIDEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-432-7827"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fidel@powerhouseyf.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8540 E Navarro Ave",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852097306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "JAC Behavioral Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.