SUCCESS RESIDENCE LLC
NPI 1225621485
Counselor - Addiction (Substance Use Disorder) in San Tan Valley, AZ

Q: What is Success Residence LLC's NPI number?

The NPI number for Success Residence LLC is 1225621485. It was assigned to this organization in the NPPES registry on February 18, 2021.

Q: What is Success Residence LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since February 18, 2021

5120 E WALLACE WAY, SAN TAN VALLEY, AZ 85143(917) 891-4320 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Success Residence Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUCCESS RESIDENCE LLC (NPI 1225621485) is a healthcare organization registered as an addiction (substance use disorder) in San Tan Valley, Arizona and active in the NPI registry since February 2021. The organization lists Maama Abukari, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225621485

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameSUCCESS RESIDENCE LLC

Location Address5120 E WALLACE WAYSan Tan Valley, AZ 85143-5161

Mailing Address5120 E Wallace WaySan Tan Valley, AZ 85143-5161 · (917) 891-4320

Phone(917) 891-4320

Organization SubpartNo

Authorized OfficialMaama AbukariAdministrator · (917) 891-4320

Enumeration DateFebruary 18, 2021

NPPES CertifiedFebruary 18, 2021

✔ NPI 1225621485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

5120 E WALLACE WAY, San Tan Valley, AZ 85143

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MAAMA ABUKARI

Counselor (Addiction (Substance Use Disorder))

5120 E WALLACE WAY
SAN TAN VALLEY, AZ 85143

Pinal County (917) 891-4320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Success Residence LLC's NPI number?

The NPI number for Success Residence LLC is 1225621485. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Success Residence LLC located?

Success Residence LLC is located at 5120 E Wallace Way, San Tan Valley, AZ 85143. The listed phone number is (917) 891-4320.

What is Success Residence LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Success Residence LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.