NPIMap

Organization Active NPI

Special Needs Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Mesa, AZ
National Provider Identifier
1578885166
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
271653 Issued in AZ
Legal business name
SPECIAL NEEDS SERVICES, LLC
Practice address
6954 E Teton Cir
Mesa, AZ 85207-0939
Phone
(602) 295-8987
Fax
(480) 659-3763
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Mr. Daniel James O'Brien
Title
President
Phone
(602) 295-8987

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 271653 AZ Primary
Early Intervention Provider Agency 252Y00000X 271653 AZ
In Home Supportive Care Agency 253Z00000X 271653 AZ
Preferred Provider Organization 305R00000X 271653 AZ
Respite Care 385H00000X 271653 AZ
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 271653 AZ

Addresses

Primary practice location

6954 E Teton Cir
Mesa, AZ 85207-0939

Mailing address

6954 E Teton Cir
Mesa, AZ 85207-0939
Phone (602) 295-8987

Other identifiers 2

IdentifierTypeStateIssuer
271653OtherAZAHCCCS PROVIDER NUMBER
02315OtherAZARIZONA QUALIFIED VENDOR AGREEMENT NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1578885166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 E TETON CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852070939",
            "telephone_number": "602-295-8987",
            "fax_number": "480-659-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 E TETON CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852070939",
            "telephone_number": "602-295-8987",
            "fax_number": "480-659-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL NEEDS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-295-8987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "271653",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "271653",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "271653",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "271653",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "271653",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AZ",
            "license": "271653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER NUMBER",
            "identifier": "271653",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA QUALIFIED VENDOR AGREEMENT NUMBER",
            "identifier": "02315",
            "state": "AZ"
        }
    ],
    "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 Feb 23, 2010; 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.