Provider Type Icon

FSL PATHWAYS NPI 1083967376


NPI Information

NPI: 1083967376
Provider Name: FSL PATHWAYS

Other Name: HAYWARD HOUSE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4023 W HAYWARD AVE
PHOENIX, AZ
ZIP 85051
Phone: (602) 285-0505
Get Directions

FSL PATHWAYS is a community based residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FSL PATHWAYS NPI is 1083967376. The provider is registered as an organization entity type.
The provider Other Name Is Hayward House.

The provider's business location address is:

4023 W HAYWARD AVE
PHOENIX, AZ
ZIP 85051-749
Phone: (602) 285-0505
Fax: (602) 285-1838

The provider's authorized official is Annette M Iniguez .
The authorized official title is Executive Assistant and has the following contact phone number (602) 285-0505.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesBH4104ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BH4104OTHERARIZONAARIZONA BEHAVIORAL HEALTH SERVICES LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.