Active NPI
Prestige Group Homes
- Assisted Living Facility (Behavioral Disturbances)
- Phoenix, AZ
National Provider Identifier
1275042657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- License
- BH5146
- Legal business name
- PRESTIGE GROUP HOMES
- Practice address
- 28001 N 31St Ave
Phoenix, AZ 85083 - Phone
- (520) 461-9155
- NPI assigned
- Sep 28, 2017
- 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
- Jamil Anouti
- Title
- Owner
- Phone
- (520) 461-9155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | BH5146 | AZ | Primary |
Addresses
Primary practice location
28001 N 31St Ave
Phoenix, AZ 85083
Mailing address
28001 N 31St Ave
Phoenix, AZ 85083-8603
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506556800000",
"number": "1275042657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28001 N 31ST AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850838603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28001 N 31ST AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85083",
"telephone_number": "520-461-9155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE GROUP HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A",
"authorized_official_last_name": "ANOUTI",
"authorized_official_first_name": "JAMIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-461-9155"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "AZ",
"license": "BH5146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.