Jayla Home Behavioral Health LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

JAYLA HOME BEHAVIORAL HEALTH LLC

Doing business as

Wood Home

Practice address

10620 W Wood St
Tolleson, AZ 85353-5427

Phone

(208) 389-8458

NPI assigned

Oct 15, 2025

Last updated

Nov 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kandi Amisi

Title

Administrator

Phone

(208) 389-8458

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WOOD HOME Doing business as

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762041600000",
    "number": "1730055716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 S 78TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431261",
            "telephone_number": "208-389-8458",
            "fax_number": "208-389-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 W WOOD ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535427",
            "telephone_number": "208-389-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYLA HOME BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A",
        "authorized_official_last_name": "AMISI",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-389-8458"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHRF",
            "identifier": "20082",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOOD HOME",
            "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 Nov 2, 2025; 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.