AYOBAMI NOHEEM AGORO


Address: 12362 W Joblanca Rd, Avondale, AZ 85323-3130
Phone: 2022907492

AYOBAMI NOHEEM AGORO (NPI# 1649878687) 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) 1649878687
Entity Type Individual
Full Name AYOBAMI NOHEEM AGORO
Credential CEO
Practice Address 12362 W Joblanca Rd
Avondale
AZ 85323-3130
Practice Telephone 2022907492
Mailing Telephone 2022907492
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code M
Is Sole Proprietor Y

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 Identifier

State Issuer Identifier Type Code
N/A 00 01

Office Location

Street Address 12362 W JOBLANCA RD
City AVONDALE
State AZ
Zip Code 85323-3130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932663994 Bridgewater Avondale Operations, LLC Assisted Living Facility 295 E Van Buren Street, Avondale, AZ 85323 2019-01-24
1104309152 Carlos Sifuentes Physical Therapist 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 2018-09-14
1225534688 Dayna Sue Kaepp Registered Nurse 3300 N. Santa Fe Trail, Avondale, AZ 85323 2018-04-04
1407376700 Amanda Lynn Radcliffe Nurse Practitioner 824 N. 99th Ave Ste 108, Avondale, AZ 85323 2017-06-27
1093253361 Aquatic-n-writing Rehad Home Health 12355 West Cocopah Street, Avondale, AZ 85323 2017-02-07
1750838348 Annette A Alvarez Specialist/Technologist 295 W Western Avenue, Avondale, AZ 85323 2016-09-01
1649726886 Michelle R Dotson Contractor 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 2016-08-28
1619370756 Amanda Mann Physical Therapy Assistant 12804 West Hildalgo, Avondale, AZ 85323 2014-10-03
1326459306 Ma Caubalejo Physical Therapist 350 East La Canada Blvd, Avondale, AZ 85323 2014-05-13
1093139545 Mark Salvador Physical Therapy Assistant 11722 W. Mountain View Dr., Avondale, AZ 85323 2014-02-04
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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
1477910883 Merciful Behavioral Health Services LLC Community Based Residential Treatment Facility, Mental Illness 12383 W Glenrosa Ave, Avondale, AZ 85392-4287 2016-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1235736018 Happy Valley Community Services LLC Community Based Residential Treatment Facility, Mental Illness 1106 E Cochise Dr, Phoenix, AZ 85020-1550 2020-10-05
1144835968 Jfox II LLC Community Based Residential Treatment Facility, Mental Illness 5327 E Enrose Cir, Mesa, AZ 85205-5489 2020-09-09
1639782956 Ascend Behavioral Health and Wellness,llc Community Based Residential Treatment Facility, Mental Illness 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 2020-08-26
1952913998 Vema Corporation Community Based Residential Treatment Facility, Mental Illness 12701 N 79th Dr, Peoria, AZ 85381-9049 2020-08-20
1720698509 Lyddia Getaweru Community Based Residential Treatment Facility, Mental Illness 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 2020-08-05
1689284531 Brain Solutions Pllc Community Based Residential Treatment Facility, Mental Illness 4555 S Maverick Ct, Gilbert, AZ 85297-9532 2020-08-05
1548879950 C&j Care Home LLC Community Based Residential Treatment Facility, Mental Illness 4418 W Darrel Rd, Laveen, AZ 85339-6222 2020-07-31
1295353019 Alliance Behavioral Care LLC Community Based Residential Treatment Facility, Mental Illness 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 2020-07-08
1588281604 Alliance Behavioral Care LLC Community Based Residential Treatment Facility, Mental Illness 1402 E Hoover Ave, Phoenix, AZ 85006-1737 2020-07-06
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Competitor

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City AVONDALE
Zip Code 85323

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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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