Success Behavioral Group Home LLC 1
NPI 1588524110 · Physical Disabilities Residential Treatment Facility · Tolleson, AZ
Success Behavioral Group Home LLC 1 is a Physical Disabilities Residential Treatment Facility organization in Tolleson, AZ (NPI 1588524110).
Provider details
- NPI number
- 1588524110
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ewomazino Omasere, Administrator(903) 917-8122
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-11-15
- Last updated
- 2025-11-15
- Certified
- 2025-11-15
Frequently asked questions
- What is Success Behavioral Group Home LLC 1's NPI number?
- Success Behavioral Group Home LLC 1's National Provider Identifier (NPI) is 1588524110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Success Behavioral Group Home LLC 1?
- Success Behavioral Group Home LLC 1 is classified in the NPPES registry as Physical Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Success Behavioral Group Home LLC 1 located?
- Success Behavioral Group Home LLC 1's practice location on file with NPPES is 9557 W Agora Ln, Tolleson, AZ 85353-4565.
- What is Success Behavioral Group Home LLC 1's phone number?
- The practice phone number listed in the NPPES registry for Success Behavioral Group Home LLC 1 is (602) 558-5847.
- Who is the authorized official for Success Behavioral Group Home LLC 1?
- The authorized official listed on Success Behavioral Group Home LLC 1's NPPES record is Ewomazino Omasere, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Success Behavioral Group Home LLC 1's NPI active?
- Yes — Success Behavioral Group Home LLC 1's NPI (1588524110) is active in the NPPES registry as of the last update on 2025-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.