Active NPI
Harraway Corporation
- Assisted Living Facility
- Peoria, AZ
National Provider Identifier
1730444647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL6125H
- Legal business name
- HARRAWAY CORPORATION
- Practice address
- 10214 N 89TH Ave
Peoria, AZ 85345-6467 - Phone
- (623) 979-4717
- Fax
- (623) 979-4465
- NPI assigned
- Jul 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yvette Vera Harraway, LPN
- Title
- Cfo
- Phone
- (623) 810-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL6125H | AZ | Primary |
Addresses
Primary practice location
10214 N 89TH Ave
Peoria, AZ 85345-6467
Mailing address
10214 N 89TH Ave
Peoria, AZ 85345-6467
Phone (623) 810-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177551 | Medicaid | AZ |
Other names 1
- Arnold's Place
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342137600000",
"number": "1730444647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10214 N 89TH AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456467",
"telephone_number": "623-810-2225",
"fax_number": "623-979-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10214 N 89TH AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456467",
"telephone_number": "623-979-4717",
"fax_number": "623-979-4465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRAWAY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-13",
"status": "A",
"authorized_official_last_name": "HARRAWAY",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "VERA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "623-810-2225",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL6125H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177551",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arnold's Place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.