MS.MIMI CARING HEART LLC NPI 1316763469

NPI Information

  • NPI: 1316763469
  • Provider Name: MS.MIMI CARING HEART LLC
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 3466 W SUNSHINE BUTTE DR
    QUEEN CREEK, AZ
    ZIP 85144
  • Phone: (602) 616-0039

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NPI Details

MS.MIMI CARING HEART LLC is an assisted living and behavioral disturbances assisted living facility in Queen Creek, 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. MS.MIMI CARING HEART LLC NPI is 1316763469. The provider is registered as an organization entity type.

The provider's business location address is:

3466 W SUNSHINE BUTTE DR
QUEEN CREEK, AZ
ZIP 85144-058
Phone: (602) 616-0039

The provider's authorized official is Mirlande Bonne-annee .
The authorized official title is Administrator/owner and has the following contact phone number (917) 647-3500.

The enumeration date for this NPI number is 11/22/2024 and was last updated on 11/22/2024.

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
1251K00000XPublic Health or WelfareNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
5385HR2055XRespite CareRespite Care, Mental Illness, ChildNo

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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