Organization Active NPI

Caring Residential Services, LLC

  • Community/Behavioral Health Agency
  • Prescott Valley, AZ
National Provider Identifier
1689118549
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4852 Issued in AZ
Legal business name
CARING RESIDENTIAL SERVICES, LLC
Practice address
4558 N Miner Rd
Prescott Valley, AZ 86314-3901
Phone
(623) 877-8206
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Mr. Zuhair Haddad
Title
Managing Director
Phone
(623) 877-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH4852 AZ Primary

Addresses

Primary practice location

4558 N Miner Rd
Prescott Valley, AZ 86314-3901

Mailing address

6202 W Sunnyside Dr
Glendale, AZ 85304-2536
Phone (623) 877-8206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1689118549",
    "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": "623-877-8206",
            "fax_number": "623-877-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 N MINER RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143901",
            "telephone_number": "623-877-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "ZUHAIR",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "623-877-8206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.