Chambliss Family & Youth Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CHAMBLISS FAMILY & YOUTH GROUP HOME LLC

Practice address

22611 W Yavapai St
Buckeye, AZ 85326-8953

Phone

(662) 617-9143

NPI assigned

May 4, 2026

Organization subpart

No

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

Authorized official

Name

Trevonte Chambliss

Title

Admin

Phone

(662) 617-9143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1841137064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22611 W YAVAPAI ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268953",
            "telephone_number": "662-617-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22611 W YAVAPAI ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268953",
            "telephone_number": "662-617-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBLISS FAMILY & YOUTH GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "CHAMBLISS",
        "authorized_official_first_name": "TREVONTE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "662-617-9143"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha V Carver
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• Michelle Cerda, OTR/L
• Nicole Michelle Chambers
• Alissa Chase, LPC
• Adya Chaurasia
• Lynn Phan Chavez, PHARMD
• City of Buckeye
• Lindsey Jo Clapp, PTA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.