Organization Active NPI

Caring Residential Services-2, LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1659739993
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARING RESIDENTIAL SERVICES-2, LLC
Practice address
6202 W Sunnyside Dr
Glendale, AZ 85304-2536
Phone
(928) 275-4101
Fax
(623) 877-8992
NPI assigned
Feb 1, 2016
Organization subpart
Yes
Parent organization
CARING RESIDENTIAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Mr. Joel Kyulule
Title
Executive Director
Phone
(928) 275-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6202 W Sunnyside Dr
Glendale, AZ 85304-2536

Mailing address

6202 W Sunnyside Dr
Glendale, AZ 85304-2536
Phone (928) 275-4101

National Provider Directory

National Provider Directory
Part of
Caring Residential Servicesllc

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1659739993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 W SUNNYSIDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042536",
            "telephone_number": "928-275-4101",
            "fax_number": "623-877-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 W SUNNYSIDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042536",
            "telephone_number": "928-275-4101",
            "fax_number": "623-877-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING RESIDENTIAL SERVICES-2, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARING RESIDENTIAL SERVICES, LLC",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "KYULULE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-275-4101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.