Organization Active NPI

New Beginnings Group Home, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tolleson, AZ
National Provider Identifier
1639640915
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
NEW BEGINNINGS GROUP HOME, INC.
Practice address
3109 S 100TH Dr
Tolleson, AZ 85353-8434
Phone
(602) 733-9285
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Kassinda King BayoNPI 1073081808
Title
Owner
Phone
(602) 733-9285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

3109 S 100TH Dr
Tolleson, AZ 85353-8434

Mailing address

3109 S 100TH Dr
Tolleson, AZ 85353-8434
Phone (602) 733-9285

Other identifiers 1

IdentifierTypeStateIssuer
5432OtherAZIRS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1639640915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 S 100TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538434",
            "telephone_number": "602-733-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 S 100TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538434",
            "telephone_number": "602-733-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "KING BAYO",
        "authorized_official_first_name": "KASSINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-733-9285"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "5432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.