Organization Active NPI

Arizona Family Health Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1275206575
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARIZONA FAMILY HEALTH SERVICES LLC
Practice address
3404 W Cheryl Dr Ste A250
Phoenix, AZ 85051-9588
Phone
(602) 727-7659
Fax
(602) 687-7602
NPI assigned
Aug 1, 2021
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Mr. Theophilus Fabuluje
Title
Executive President
Phone
(602) 488-8596

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU
Adult Day Care Clinic/Center 261QA0600X NU
Assisted Living Facility 310400000X NU
Intellectual Disabilities Intermediate Care Facility 315P00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Respite Care 385H00000X NU
Respite Care Camp 385HR2050X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU
Foster Care Agency 253J00000X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3404 W Cheryl Dr Ste A250
Phoenix, AZ 85051-9588

Mailing address

5534 W Winston Dr
Laveen, AZ 85339-5256
Phone (602) 727-7659

Other practice location 1

3201 W Peoria Ave Ste C600
Phoenix, AZ 85029-4611
Phone (602) 633-3279

Other practice location 2

7551 S Dark Sands Dr
Tucson, AZ 85757-8237
Phone (520) 783-8584

Other practice location 3

1355 E Northern Ave
Phoenix, AZ 85020-4278
Phone (480) 404-7569

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenix Direct

National Provider Directory

National Provider Directory

Locations

1355 E Northern Ave
Phoenix, AZ 85020
Phone (480) 404-7569

3201 W Peoria Ave
Ste C600
Phoenix, AZ 85029
Phone (602) 230-6744

3404 W Cheryl Dr
Ste A250
Phoenix, AZ 85051
Phone (602) 727-7659

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1275206575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 W WINSTON DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395256",
            "telephone_number": "602-727-7659",
            "fax_number": "602-687-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W CHERYL DR STE A250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519588",
            "telephone_number": "602-727-7659",
            "fax_number": "602-687-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Peoria Ave Ste C600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294611",
            "country_code": "US",
            "telephone_number": "602-633-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7551 S Dark Sands Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857578237",
            "country_code": "US",
            "telephone_number": "520-783-8584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 E Northern Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204278",
            "country_code": "US",
            "telephone_number": "480-404-7569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA FAMILY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "FABULUJE",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "EXECUTIVE PRESIDENT",
        "authorized_official_telephone_number": "602-488-8596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "endpointDescription": "Practice Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3404 W Cheryl Dr Ste A250",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 13, 2025; 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.