Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moms House of Az LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1366064438

Moms House of Az LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3636 N 3rd Ave Ste 150
Phoenix, AZ 85013-3943
Phone: (510) 386-0713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1366064438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarel Hall — Owner · (510) 368-0713
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing address3636 N 3rd Ave Ste 150, Phoenix, AZ 85013-3943

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