Safeway House Youth Facility,LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

SAFEWAY HOUSE YOUTH FACILITY,LLC

Practice address

1469 E Laurel Dr
Casa Grande, AZ 85122-1775

Phone

(520) 518-5069

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Matik' Battle

Title

Ceo/Administrator

Phone

(480) 465-0403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1548620362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 E LAUREL DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 E LAUREL DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221775",
            "telephone_number": "520-518-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY HOUSE YOUTH FACILITY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MATIK'",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-465-0403",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica B Rubio, PHARMD
• Michael Rubio, FNP-C
• John Grover Russell, NCSP
• Jacqueline L Saavedra, N/A
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• Andres L Salazar
• Donna Jean Salazar, M. ED., LBA, LISAC
• Francis Charles Salisbury, MD

• Foster Care Agency in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.