Active NPI
Love for the Children Group Home
Doing business as Love For The Children Foundation
- Mental Illness Community Based Residential Treatment Facility
- Peoria, AZ
National Provider Identifier
1316453913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- LOVE FOR THE CHILDREN GROUP HOME
- Doing business as
- Love For The Children Foundation
- Practice address
- 20277 N 93Rd Ave
Peoria, AZ 85382-5319 - Phone
- (310) 717-1821
- Fax
- (623) 444-8413
- NPI assigned
- Dec 18, 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
- Mrs. Baya Bolya
- Title
- President
- Phone
- (310) 717-1821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
20277 N 93Rd Ave
Peoria, AZ 85382-5319
Mailing address
17932 W Desert LN
Surprise, AZ 85388-1658
Phone (310) 717-1821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH5297 | Other | AZ | AZDHS |
Other names 1
- Love For The Children Foundation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1316453913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17932 W DESERT LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853881658",
"telephone_number": "310-717-1821",
"fax_number": "623-444-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20277 N 93RD AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825319",
"telephone_number": "310-717-1821",
"fax_number": "623-444-8413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE FOR THE CHILDREN GROUP HOME",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-18",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "BOLYA",
"authorized_official_first_name": "BAYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-717-1821",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZDHS",
"identifier": "BH5297",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Love For The Children Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.