The Way Home Behavioral Health, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

THE WAY HOME BEHAVIORAL HEALTH, LLC

Doing business as

The Way Home Behavioral Health, LLC

Practice address

12334 W Aster Dr
El Mirage, AZ 85335-4202

Phone

(928) 207-5144

NPI assigned

Feb 6, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Patrick E. Conlisk, RN

Title

Coo

Phone

(928) 207-5144

Specialties & licenses 1

Addresses

Other names 1

• The Way Home Behavioral Health, LLC Doing business as

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1720670219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12334 W ASTER DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853354202",
            "telephone_number": "928-207-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12334 W ASTER DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853354202",
            "telephone_number": "928-207-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAY HOME BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "CONLISK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-207-5144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Way Home Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.