Safeway Angels Youth Facility LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

SAFEWAY ANGELS YOUTH FACILITY LLC

Practice address

231 S Mission Abo LN
Casa Grande, AZ 85194-8549

Phone

(480) 465-0403

Fax

(520) 836-1043

NPI assigned

Dec 20, 2016

Organization subpart

No

Name

Mrs. Tiffany Matik' Battle, MA,AAS,BA

Title

Ceo/Administrator

Phone

(480) 465-0403

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2016.

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1972048312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S MISSION ABO LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948549",
            "telephone_number": "480-465-0403",
            "fax_number": "520-836-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S MISSION ABO LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948549",
            "telephone_number": "480-465-0403",
            "fax_number": "520-836-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY ANGELS YOUTH FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MATIK'",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-465-0403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,AAS,BA"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rta Hospice, LLC
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• Michael Rubio, FNP-C
• John Grover Russell, NCSP
• Jacqueline L Saavedra, N/A
• Safeway House Youth Facility,LLC
• Safeway Inc
• Sage Counseling, Inc.
• Andres L Salazar
• Donna Jean Salazar, M. ED., LBA, LISAC

• All providers in Casa Grande, AZ
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.