Organization Active NPI

Quality Care Wellness LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1316631880
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUALITY CARE WELLNESS LLC
Practice address
5820 W Peoria Ave Ste 101
Glendale, AZ 85302-1301
Phone
(646) 982-9635
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Yayah Jusu
Title
Owner
Phone
(646) 982-9635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5820 W Peoria Ave Ste 101
Glendale, AZ 85302-1301

Mailing address

5820 W Peoria Ave Ste 101
Glendale, AZ 85302-1301
Phone (646) 982-9635

National Provider Directory

National Provider Directory

Locations

5820 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (646) 982-9635

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1316631880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021301",
            "telephone_number": "646-982-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021301",
            "telephone_number": "646-982-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "JUSU",
        "authorized_official_first_name": "YAYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-982-9635"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.