Active NPI
Quality Care Wellness LLC
- Community/Behavioral Health Agency
- Glendale, AZ
National Provider Identifier
1316631880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.