Milestone Children'S Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MILESTONE CHILDREN'S HOME

Practice address

4841 W Elliot Rd
Laveen, AZ 85339-1861

Phone

(480) 289-0851

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Rafael Morales

Title

Ceo

Phone

(480) 289-0851

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580601600000",
    "number": "1265906168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 W ELLIOT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391861",
            "telephone_number": "480-289-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 W ELLIOT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391861",
            "telephone_number": "480-289-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10813 W Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925803",
            "country_code": "US",
            "telephone_number": "623-414-3346",
            "fax_number": "623-414-3346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10319 W Odeum Ln",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853534195",
            "country_code": "US",
            "telephone_number": "623-218-6892",
            "fax_number": "623-218-6892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILESTONE CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-289-0851"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.