MON AMI GROUP HOME NPI 1215588629

NPI Information

  • NPI: 1215588629
  • Provider Name: MON AMI GROUP HOME
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: MONAMI GROUP HOME LLC
  • Address: 9138 E DENNIS ST
    MESA, AZ
    ZIP 85207
  • Phone: (480) 380-4413

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NPI Details

MON AMI GROUP HOME is a psychiatric/mental health nurse practitioner in Mesa, AZ. MON AMI GROUP HOME NPI is 1215588629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monami Group Home Llc.

The provider's business location address is:

9138 E DENNIS ST
MESA, AZ
ZIP 85207-008
Phone: (480) 380-4413
Fax: (480) 530-5408

The provider's authorized official is Salim Otieno Odiero .
The authorized official title is C.e.o and has the following contact phone number (480) 380-4413.

The enumeration date for this NPI number is 9/26/2019 and was last updated on 6/10/2020.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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