Organization Active NPI

Pilgrim Rest Foundation Inc.

  • Early Intervention Provider Agency
  • Phoenix, AZ
National Provider Identifier
1295625077
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PILGRIM REST FOUNDATION INC.
Practice address
1401 E Jefferson St
Phoenix, AZ 85034-2315
Phone
(602) 257-4575
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Richard Yarbough, MPA
Title
President
Phone
(602) 257-5064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1401 E Jefferson St
Phoenix, AZ 85034-2315

Mailing address

1401 E Jefferson St
Phoenix, AZ 85034-2315
Phone (602) 257-4575

National Provider Directory

National Provider Directory

Locations

1401 E Jefferson St
Phoenix, AZ 85034
Phone (602) 492-1875

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1295625077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342315",
            "telephone_number": "602-257-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342315",
            "telephone_number": "602-257-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM REST FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "YARBOUGH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-257-5064",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "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 Jul 3, 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.