Organization Active NPI

Harraway Corporation

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1730444647
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6125H Issued in AZ
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

Updated by the provider on Jul 13, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
177551MedicaidAZ

Other names 1

  • Arnold's Place Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.