YOUNG LIFE AL INC.


Address: 2334 W Rancho Dr, Phoenix, AZ 85015-2211
Phone: 6024649557

YOUNG LIFE AL INC. (NPI# 1245847664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245847664
Entity Type Organization
Organization Name YOUNG LIFE AL INC.
Practice Address 2334 W Rancho Dr
Phoenix
AZ 85015-2211
Mailing Address 1518 W Orangewood Ave
Phoenix
AZ 85021-7950
Practice Telephone 6024649557
Practice Fax Number 6024649551
Mailing Telephone 6025611285
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Authorized Official Name IONUT CALLINI (OPERATIONS DIRECTOR)
Authorized Official Telephone 6025611285
Is Organization Subpart Y
Parent Organization Name YOUNG LIFE AL INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ DEPARTMENT OF HEALTH SERVICES BH-6294 01

Other Provider/Organization Names

Other Name Type Code
Young Life Behavioral Healthcare Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821533613 Young Life Al Inc. Assisted Living Facility 2411 W Rancho Dr, Phoenix, AZ 85015-2214 2017-01-03

Office Location

Street Address 2334 W RANCHO DR
City PHOENIX
State AZ
Zip Code 85015-2211

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811526148 Phoenix Comfort Homes LLC Assisted Living Facility 17643 N 17th St, Phoenix, AZ 85022-2113 2020-04-07
1225697386 Alpine Villa LLC Assisted Living Facility 2144 W Luke Ave, Phoenix, AZ 85015-2319 2019-06-11
1225510118 Adagio Luxury 4 LLC Assisted Living Facility 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 2018-09-06
1528446648 Prats Care Home L.L.C. Assisted Living Facility 13401 N 30th St, Phoenix, AZ 85032-6028 2015-05-08
1871914408 A1 Universal Care Inc Assisted Living Facility 2529 W Vista Ave, 102, Phoenix, AZ 85051-6783 2013-12-27
1548582679 Baraka House LLC Assisted Living Facility 15402 N 29th Ave, Phoenix, AZ 85053-4003 2010-02-16
1902034424 Brett Calabro's Home Assisted Living Facility 4002 W Sharon Ave, Phoenix, AZ 85029-1044 2009-06-23
1013172352 Visionz Alliance LLC Assisted Living Facility 351 W Sumerset Dr, Phoenix, AZ 85023-7425 2008-07-25
1104084383 Baraka House LLC Assisted Living Facility 13619 N 36th Ave, Phoenix, AZ 85029-1103 2008-05-24
1609079235 Baraka House Assisted Living Facility 3740 W Caron St, Phoenix, AZ 85051-3340 2007-06-10
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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