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

Success Behavioral Group Home LLC 1

Organization Physical Disabilities Residential Treatment Facility · NPI 1588524110

Success Behavioral Group Home LLC 1 is a Physical Disabilities Residential Treatment Facility in Tolleson, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9557 W Agora Ln
Tolleson, AZ 85353-4565
Phone: (602) 558-5847
Fax: (602) 671-6752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary) Taxonomy 320700000X

Record details

NPI number1588524110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ewomazino Omasere — Administrator · (903) 917-8122
NPI enumeratedNovember 15, 2025
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025
Mailing address9557 W Agora Ln, Tolleson, AZ 85353-4565