A Mothers Love Residential Homes LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH4352 Issued in AZ

Legal business name

A MOTHERS LOVE RESIDENTIAL HOMES LLC

Practice address

11610 W Windrose Ave
El Mirage, AZ 85335-3951

Phone

(623) 792-5336

Fax

(602) 926-8174

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Tracey Miller

Title

Chief Exececutive Officer

Phone

(623) 792-5336

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1326469719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 W WINDROSE AVE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353951",
            "telephone_number": "623-792-5336",
            "fax_number": "602-926-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 W WINDROSE AVE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353951",
            "telephone_number": "623-792-5336",
            "fax_number": "602-926-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MOTHERS LOVE RESIDENTIAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CHIEF EXECECUTIVE OFFICER",
        "authorized_official_telephone_number": "623-792-5336"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Abeytia
• Elizabeth Ann Achey
• Active Integrated Health
• Tanya Akin, RN
• All About Kids

• Emotionally Disturbed Childrens' Residential Treatment Facility in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.