Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Success Behavioral Group Home LLC 1

Physical Disabilities Residential Treatment Facility in Tolleson, AZ · enumerated 2025 · authorized official Ewomazino Omasere, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588524110

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Success Behavioral Group Home LLC 1

Practice address 9557 W Agora Ln, Tolleson, AZ, 85353

Phone (602) 558-5847

Fax (602) 671-6752

Enumeration date Nov 15, 2025

Last updated in NPPES Nov 15, 2025

Taxonomy & classification

320700000X Physical Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Ewomazino Omasere

Title Administrator

Phone (903) 917-8122

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Success Behavioral Group Home LLC 1 located?

The practice location on file with NPPES is in Tolleson, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-15.