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MOMS HOUSE OF AZ LLC
NPI 1366064438
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since May 12, 2020
3636 N 3RD AVE STE 150, PHOENIX, AZ 85013(510) 386-0713 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Moms House Of Az Llc NPPES

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

MOMS HOUSE OF AZ LLC (NPI 1366064438) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since May 2020. The organization lists Jarel Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1366064438
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMOMS HOUSE OF AZ LLC
Location Address3636 N 3RD AVE STE 150Phoenix, AZ 85013-3943
Mailing Address3636 N 3rd Ave Ste 150Phoenix, AZ 85013-3943 · (510) 386-0713
Phone(510) 386-0713
Organization SubpartNo
Authorized OfficialJarel HallOwner · (510) 368-0713
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1366064438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

3636 N 3RD AVE STE 150, Phoenix, AZ 85013
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Other Providers at the Same Location NPPES 3

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

TOUCH THE CLOUDS LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3636 N 3RD AVE STE 150
PHOENIX, AZ 85013
Maricopa County (209) 774-6299
GREAT TRANSITIONS FOR OPPORTUNITIES LLC
Community/Behavioral Health
3636 N 3RD AVE STE 150
PHOENIX, AZ 85013
Maricopa County (702) 682-6080
HAYWOOD HOMES, LLC
Clinic/Center
3636 N 3RD AVE STE 150
PHOENIX, AZ 85013
Maricopa County (702) 340-9456

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 Moms House Of Az LLC's NPI number?

The NPI number for Moms House Of Az LLC is 1366064438. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Moms House Of Az LLC located?

Moms House Of Az LLC is located at 3636 N 3rd Ave Ste 150, Phoenix, AZ 85013. The listed phone number is (510) 386-0713.

What is Moms House Of Az LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Moms House Of Az LLC was last updated on May 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.