Organization Active NPI

Hearn House LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1942668090
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH4744 Issued in AZ
Legal business name
HEARN HOUSE LLC
Practice address
5520 N 71St Ave
Glendale, AZ 85303-5324
Phone
(602) 736-0523
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Sahar Moulaiy
Title
Administrator
Phone
(602) 736-0523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH4744 AZ Primary

Addresses

Primary practice location

5520 N 71St Ave
Glendale, AZ 85303-5324

Mailing address

5520 N 71St Ave
Glendale, AZ 85303-5324
Phone (602) 736-0523

National Provider Directory

National Provider Directory
Tax ID family
Hearn House 2 LLC3 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": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1942668090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 N 71ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035324",
            "telephone_number": "602-736-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 N 71ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035324",
            "telephone_number": "602-736-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "MOULAIY",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-736-0523"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.