NPIMap

Organization Active NPI

Jaylee Inc

  • Assisted Living Facility (Mental Illness)
  • Mesa, AZ
National Provider Identifier
1376830208
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL6087H Issued in AZ
Legal business name
JAYLEE INC
Practice address
544 W Nido Ave
Mesa, AZ 85210-7572
Phone
(480) 703-0329
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mr. Jason Lee Garrett
Title
President
Phone
(480) 703-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL6087H AZ Primary

Addresses

Primary practice location

544 W Nido Ave
Mesa, AZ 85210-7572

Mailing address

544 W Nido Ave
Mesa, AZ 85210-7572
Phone (480) 703-0329

Other identifiers 1

IdentifierTypeStateIssuer
096035OtherAZAHCCCS NUMBER

Other names 1

  • casa del sol Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jaylee Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1376830208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W NIDO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107572",
            "telephone_number": "480-703-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W NIDO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107572",
            "telephone_number": "480-703-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYLEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-703-0329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "AL6087H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "096035",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "casa del sol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2011; 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.