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COMPREHENSIVE GROUP HOME LLC NPI 1518650704


NPI Information

NPI: 1518650704
Provider Name: COMPREHENSIVE GROUP HOME LLC
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
4628 W MAGDALENA LN
LAVEEN, AZ
ZIP 85339
Phone: (602) 585-7091
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COMPREHENSIVE GROUP HOME LLC is an assisted living and behavioral disturbances assisted living facility in Laveen, 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. COMPREHENSIVE GROUP HOME LLC NPI is 1518650704. The provider is registered as an organization entity type.

The provider's business location address is:

4628 W MAGDALENA LN
LAVEEN, AZ
ZIP 85339-353
Phone: (602) 585-7091

The provider's authorized official is Tesfahun Worku Oute .
The authorized official title is Owner/member and has the following contact phone number (602) 585-7081.

The enumeration date for this NPI number is 6/1/2023 and was last updated on 6/1/2023.


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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.