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SUCCESS BEHAVIORAL GROUP HOME LLC
NPI 1942967989
Community/Behavioral Health in Tolleson, AZ

Active since November 24, 2021
8733 W CORDES RD, TOLLESON, AZ 85353(602) 558-5847(602) 671-6752 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Success Behavioral Group Home Llc NPPES

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

SUCCESS BEHAVIORAL GROUP HOME LLC (NPI 1942967989) is a healthcare organization registered as a community/behavioral health in Tolleson, Arizona and active in the NPI registry since November 2021. The organization lists Emmanuel Israel Omasere, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1942967989
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSUCCESS BEHAVIORAL GROUP HOME LLC
Location Address8733 W CORDES RDTolleson, AZ 85353-8606
Mailing Address8733 W Cordes RdTolleson, AZ 85353-8606 · (602) 558-5847 · Fax (602) 671-6752
Phone(602) 558-5847
Fax(602) 671-6752
Organization SubpartNo
Authorized OfficialEmmanuel Israel OmasereChief Executive Officer · (602) 558-5847
Enumeration DateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1942967989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8733 W CORDES RD, Tolleson, AZ 85353
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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 Behavioral Group Home LLC's NPI number?

The NPI number for Success Behavioral Group Home LLC is 1942967989. It was assigned to this organization in the NPPES registry on November 24, 2021.

Where is Success Behavioral Group Home LLC located?

Success Behavioral Group Home LLC is located at 8733 W Cordes Rd, Tolleson, AZ 85353. The listed phone number is (602) 558-5847.

What is Success Behavioral Group Home LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Success Behavioral Group Home LLC was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.