Healthcare Provider Details

I. General information

NPI: 1831783992
Provider Name (Legal Business Name): PROJECT NEW GENERATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 W NORTHERN AVE STE B2
GLENDALE AZ
85301-1687
US

IV. Provider business mailing address

4444 W NORTHERN AVE STE B2
GLENDALE AZ
85301-1687
US

V. Phone/Fax

Practice location:
  • Phone: 480-863-9418
  • Fax:
Mailing address:
  • Phone: 480-863-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: GEORGE GUERRERO
Title or Position: FOUNDER
Credential:
Phone: 480-863-9418