Young Life Al Inc.
Assisted Living Facility (Assisted Living, Mental Illness)

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 Identifier (NPI) 1245847664
Entity Type Organization
Organization Name YOUNG LIFE AL INC.
Practice Address 2334 W Rancho Dr
Phoenix
AZ 85015-2211
Practice Telephone 6024649557
Practice Fax Number 6024649551
Mailing Address 1518 W Orangewood Ave
Phoenix
AZ 85021-7950
Mailing Telephone 6025611285
Authorized Official Name Ionut Callini (OPERATIONS DIRECTOR)
Authorized Official Telephone 6025611285
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name YOUNG LIFE AL INC.
Enumeration Date 2020-09-29
Last Update Date 2020-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3104A0625X Assisted Living Facility · Assisted Living, Mental Illness Nursing & Custodial Care Facilities

Other Provider Identifier

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

Other Provider/Organization Names

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

Providers with the same name

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

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]

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Office Location

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

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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.