MARY GROUP HOME LLC


Address: 8025 S 47th Ln, Laveen, AZ 85339-2393
Phone: 4805777777

MARY GROUP HOME LLC (NPI# 1619590478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619590478
Entity Type Organization
Organization Name MARY GROUP HOME LLC
Practice Address 8025 S 47th Ln
Laveen
AZ 85339-2393
Mailing Address 348 S Park Grove Ln
Gilbert
AZ 85296-1731
Practice Telephone 4805777777
Enumeration Date 2020-05-27
Last Update Date 2020-05-27
Authorized Official Name REEM NAEUM NAEUM (OWNER)
Authorized Official Telephone 6235650010
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356964753 Mary Group Home LLC Community Based Residential Treatment Facility, Mental Illness 8021 S 47th Ln # 169, Laveen, AZ 85339-2393 2020-05-20
1033645668 Mary Group Home LLC Community Based Residential Treatment Facility, Mental Illness 7136 S 13th Way, Phoenix, AZ 85042-5674 2017-05-02
1568951994 Mary Group Home LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7228 S 14th St, Phoenix, AZ 85042-5681 2018-05-01

Office Location

Street Address 8025 S 47TH LN
City LAVEEN
State AZ
Zip Code 85339-2393

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093351611 Nationwide Vision Center, LLC Technician/Technologist 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 2019-11-19
1164074282 Alvis Lee Robertson Counselor 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 2019-07-09
1912493933 Kristine Robles Specialist/Technologist 6501 W Alta Vista Rd, Laveen, AZ 85339 2018-07-02
1366968521 Care Line, LLC Home Health 5818 West Pedro Lane, Laveen, AZ 85339 2017-08-19
1881119550 Calvary Home Care Services Inc Day Training, Developmentally Disabled Services 4360 W. Alta Vista Rd, Laveen, AZ 85339 2017-08-03
1295284354 Brian Hiapo Jr. Assistant, Podiatric 6170 S 51st Ave Ste 103, Laveen, AZ 85339 2016-09-29
1962850073 Laveen Pediatric Dental Partners, LLP Dentist 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 2016-05-31
1619353992 Tiffany Lee Specialist/Technologist 7034 S. 64ave, Laveen, AZ 85339 2015-08-10
1558759068 Makoto Wakamori Counselor 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 2015-01-06
1568850329 Gila River Health Care Corporation Community Based Residential Treatment Facility, Mental Illness 142226 S 53rd Ave, Laveen, AZ 85339 2015-01-02
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548879950 C&j Care Home LLC Community Based Residential Treatment Facility, Mental Illness 4418 W Darrel Rd, Laveen, AZ 85339-6222 2020-07-31
1356964753 Mary Group Home LLC Community Based Residential Treatment Facility, Mental Illness 8021 S 47th Ln # 169, Laveen, AZ 85339-2393 2020-05-20
1629699152 A Sunny Day Adult Living Home Community Based Residential Treatment Facility, Mental Illness 4319 W Park St, Laveen, AZ 85339-2203 2020-05-06
1578184743 Ready4life Behavioral Health & Counseling LLC Community Based Residential Treatment Facility, Mental Illness 5136 W St Kateri Dr, Laveen, AZ 85339-6928 2020-04-29
1841826260 Martha's Residential Care LLC Community Based Residential Treatment Facility, Mental Illness 7008 W Carter Rd, Laveen, AZ 85339-7055 2020-03-17
1952940330 Ready4life Behavioral Health & Counseling LLC Community Based Residential Treatment Facility, Mental Illness 5621 W Winston Dr, Laveen, AZ 85339-5259 2020-01-02
1952867335 Beautiful Beginnings Assisted Living Homes LLC Community Based Residential Treatment Facility, Mental Illness 5325 W Novak Way, Laveen, AZ 85339-2996 2019-02-11
1043776420 Beautiful Beginnings Assisted Living Homes LLC Community Based Residential Treatment Facility, Mental Illness 5329 W Novak Way, Laveen, AZ 85339-2996 2019-02-11
1083119796 Beautiful Beginnings Assisted Living Homes LLC Community Based Residential Treatment Facility, Mental Illness 5427 W Novak Way, Laveen, AZ 85339-2998 2018-03-26
1447601448 Mattie's Care House, LLC Community Based Residential Treatment Facility, Mental Illness 6823 W Pleasant Ln, Laveen, AZ 85339-2660 2016-06-30
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Competitor

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City LAVEEN
Zip Code 85339

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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