Organization Active NPI

Woodward Foundation for the Disabled

  • Developmentally Disabled Services Day Training Agency
  • Mesa, AZ
National Provider Identifier
1366977506
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WOODWARD FOUNDATION FOR THE DISABLED
Practice address
33 S Sycamore
Suite 1
Mesa, AZ 85202-1150
Phone
(602) 429-0346
Fax
(480) 610-6755
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Patricia Lynn Woodward
Title
Founder
Phone
(602) 429-0346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

33 S Sycamore
Suite 1
Mesa, AZ 85202-1150

Mailing address

33 S Sycamore
Suite 1
Mesa, AZ 85202-1150
Phone (602) 429-0346

National Provider Directory

National Provider Directory

Locations

33 S Sycamore
Ste 1
Mesa, AZ 85202
Phone (602) 429-0346

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1366977506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S SYCAMORE",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021150",
            "telephone_number": "602-429-0346",
            "fax_number": "480-610-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S SYCAMORE",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021150",
            "telephone_number": "602-429-0346",
            "fax_number": "480-610-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD FOUNDATION FOR THE DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "602-429-0346"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.