Active NPI
Jacobs Ladder LLC
- Foster Care Agency
- Goodyear, AZ
National Provider Identifier
1861166571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.