Active NPI
Phoenix Rising of Arizona LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1821610080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- PHOENIX RISING OF ARIZONA LLC
- Practice address
- 3636 N 3Rd Ave
Phoenix, AZ 85013-3936 - Phone
- (702) 416-6465
- NPI assigned
- May 11, 2020
- Last updated
- May 11, 2020
- 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
- Marilynn Towner
- Title
- Owner
- Phone
- (702) 416-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
3636 N 3Rd Ave
Phoenix, AZ 85013-3936
Mailing address
3636 N 3Rd Ave
Phoenix, AZ 85013-3936
National Provider Directory
National Provider DirectoryLocations
3636 N 3rd Ave
Phoenix, AZ 85013
Phone (480) 777-8807
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1477889368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1821610080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133936",
"telephone_number": "702-416-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RISING OF ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "TOWNER",
"authorized_official_first_name": "MARILYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-416-6465"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Phoenix Rise Health and Wellness LLC
- Phoenix RN First Assistant LLC
- Phoenix Skin II PC (Phoenix Skin Medical Surgical Group)
- Phoenix Sleep Disorder Center Inc.
- Phoenix Sonographic Imaging
- Phoenix Spine Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.