Organization Active NPI

Marching Towards Independence LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1538832852
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MARCHING TOWARDS INDEPENDENCE LLC
Practice address
7206 N 75TH Dr
Glendale, AZ 85303-1913
Phone
(623) 742-5636
NPI assigned
Aug 1, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Tefere Rezene
Title
Ceo
Phone
(623) 742-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

7206 N 75TH Dr
Glendale, AZ 85303-1913

Mailing address

PO Box 11975
Phoenix, AZ 85061-1975
Phone (602) 303-9806

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tefere@mtillc.org

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1538832852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11975",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850611975",
            "telephone_number": "602-303-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 N 75TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031913",
            "telephone_number": "623-742-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCHING TOWARDS INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "REZENE",
        "authorized_official_first_name": "TEFERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-742-5636"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tefere@mtillc.org",
            "affiliation": "N",
            "address_1": "7206 N 75th Dr",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853031913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 3, 2021; 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.