NPIMap

Organization Active NPI

Habilitation and Independant Living

Doing business as anodyme development

  • Assisted Living Facility (Mental Illness)
  • Arizona City, AZ
National Provider Identifier
1598942302
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HABILITATION AND INDEPENDANT LIVING
Doing business as
anodyme development
Practice address
12291 W. Cabrillo Dr
Arizona City, AZ 85223
Phone
(623) 217-8277
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
David Rusty Woods, LPC
Title
Executive Director
Phone
(623) 217-8277

Specialties & licenses 1

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

Addresses

Primary practice location

12291 W. Cabrillo Dr
Arizona City, AZ 85223

Mailing address

5255 W. Port Au Prince Lane
Glendale, AZ 85306
Phone (623) 217-8277

Other names 1

  • anodyme development Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anodyme Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1598942302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 W. PORT AU PRINCE LANE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "623-217-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 W. CABRILLO DR",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85223",
            "telephone_number": "623-217-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILITATION AND INDEPENDANT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-217-8277",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anodyme development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arizona City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.