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HOME OF SUCCESS LLC NPI 1134906837


NPI Information

NPI: 1134906837
Provider Name: HOME OF SUCCESS LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
5249 E GUMMITE DR
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (917) 891-4320
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HOME OF SUCCESS LLC is a developmental disabilities clinic center in San Tan Valley, AZ. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). HOME OF SUCCESS LLC NPI is 1134906837. The provider is registered as an organization entity type.

The provider's business location address is:

5249 E GUMMITE DR
SAN TAN VALLEY, AZ
ZIP 85143-790
Phone: (917) 891-4320

The provider's authorized official is Maama Abukari .
The authorized official title is Manager and has the following contact phone number (917) 891-4320.

The enumeration date for this NPI number is 9/14/2023 and was last updated on 9/14/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 5/5/2024

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