Organization Active NPI

Phoenix Rising of Arizona LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1821610080
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

3636 N 3rd Ave
Phoenix, AZ 85013
Phone (480) 777-8807

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": []
}

Other providers in Phoenix, AZ

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.

Verify at the official NPI Registry.