Russell Hays

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

BH2775 Issued in AZ

Legal business name

RUSSELL HAYS

Practice address

3540 E Campo Bello Dr
Phoenix, AZ 85032-2032

Phone

(602) 626-7349

Fax

(602) 626-7351

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Russell G Hays

Title

Administrator

Phone

(602) 626-7349

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1649325432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E CAMPO BELLO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322032",
            "telephone_number": "602-626-7349",
            "fax_number": "602-626-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E CAMPO BELLO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322032",
            "telephone_number": "602-626-7349",
            "fax_number": "602-626-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-626-7349"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH2775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "BH2775",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "BH2959",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narita M Rusling, COUNSELOR
• Brittani Rusnak, RN
• Casey Russ, M.ED. BCBA LBA
• Jessica Russ, CCP
• Craig William Russel, MD
• Russell T Taylor PLLC
• Adrian Anita Russell, LASAC
• Alison Russell
• Ann C Russell, MA, CCC-SLP
• Ashlyn Russell, RBT

• Assisted Living Facility (Mental Illness) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.