Fay'S House 1,2,3 LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH 2693 Issued in AZ

Legal business name

FAY'S HOUSE 1,2,3 LLC

Practice address

408 W Beverly Rd
Phoenix, AZ 85041-8111

Phone

(602) 304-0316

Fax

(602) 276-0138

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dee'Anna Marie McQuiller

Title

Chief Administrator

Phone

(602) 304-0316

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1467666131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W BEVERLY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850418111",
            "telephone_number": "602-304-0316",
            "fax_number": "602-276-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W BEVERLY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850418111",
            "telephone_number": "602-304-0316",
            "fax_number": "602-276-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAY'S HOUSE 1,2,3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MCQUILLER",
        "authorized_official_first_name": "DEE'ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "602-304-0316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH 2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146283",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Favored Medical
• Favour Enterprises L.L.C
• Rhenita Fawagan, BSN-RN, MSN-AGACNP
• Kylee Fawcett
• Deanne R Fay, P.T.
• Abenego Fayah, LMT
• Daniel Fayard, M.D.
• Lynda Fawn Faye, OTR L
• Shirleeah Fayson, AT
• Naomi Fayzulayev, FNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, 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 4, 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.