Organization Active NPI

Jacobs Ladder LLC

  • Foster Care Agency
  • Goodyear, AZ
National Provider Identifier
1861166571
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
JACOBS LADDER LLC
Practice address
14065 W Windward Ave
Goodyear, AZ 85395-2050
Phone
(623) 399-5781
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Rochelle Lloyd
Title
Owner
Phone
(662) 399-5781

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Foster Care Agency 253J00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

14065 W Windward Ave
Goodyear, AZ 85395-2050

Mailing address

14065 W Windward Ave
Goodyear, AZ 85395-2050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1861166571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14065 W WINDWARD AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14065 W WINDWARD AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952050",
            "telephone_number": "623-399-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS LADDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-399-5781"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.