NPIMap

Organization Active NPI

JRW Residential Services LLC

Doing business as Dreamlife Residential Homes

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1881183135
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH5262 Issued in AZ
Legal business name
JRW RESIDENTIAL SERVICES LLC
Doing business as
Dreamlife Residential Homes
Practice address
2428 W Sagebrush Dr
Phoenix, AZ 85085-5026
Phone
(623) 210-4872
NPI assigned
May 2, 2018
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Mr. Aaron Wright
Title
Managing Partner
Phone
(623) 210-4872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH5262 AZ Primary

Addresses

Primary practice location

2428 W Sagebrush Dr
Phoenix, AZ 85085-5026

Mailing address

2428 W Sagebrush Dr
Phoenix, AZ 85085-5026
Phone (623) 210-4872

Other identifiers 1

IdentifierTypeStateIssuer
303942MedicaidAZ

Other names 1

  • Dreamlife Residential Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dreamlife Residential Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1881183135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 W SAGEBRUSH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855026",
            "telephone_number": "623-210-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 W SAGEBRUSH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855026",
            "telephone_number": "623-210-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRW RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "623-210-4872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreamlife Residential Homes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dreamlife Residential Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2018; 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.