HIS MERCY ASSISTED LLC NPI 1124767140

NPI Information

  • NPI: 1124767140
  • Provider Name: HIS MERCY ASSISTED LLC
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 15204 W WESTVIEW DR
    GOODYEAR, AZ
    ZIP 85395
  • Phone: (202) 290-7492

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NPI Details

HIS MERCY ASSISTED LLC is an assisted living and behavioral disturbances assisted living facility in Goodyear, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. HIS MERCY ASSISTED LLC NPI is 1124767140. The provider is registered as an organization entity type.

The provider's business location address is:

15204 W WESTVIEW DR
GOODYEAR, AZ
ZIP 85395-292
Phone: (202) 290-7492

The provider's authorized official is Ayobami N Agoro .
The authorized official title is Owner and has the following contact phone number (202) 290-7492.

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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