OrganizationActive
Home of Success LLC
NPI 1134906837 · Developmental Disabilities Clinic/Center · San Tan Valley, AZ
Provider details
- NPI number
- 1134906837
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maama Abukari, Manager(917) 891-4320
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5249 E Gummite Dr
San Tan Valley, AZ 85143-5790
Phone: (917) 891-4320
Street-level locationGet directions
Mailing address
5249 E Gummite Dr
San Tan Valley, AZ 85143-5790
Other names (DBA / former)
- Doing business as
- Home of Success LLC
Registry dates
- Enumerated
- 2023-09-14
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.