SALEM ASSISTED HOME CARE LLC NPI 1609730266

NPI Information

  • NPI: 1609730266
  • Provider Name: SALEM ASSISTED HOME CARE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 17655 W HALE BOPP DR
    GOODYEAR, AZ
    ZIP 85338
  • Phone: (602) 299-1060

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NPI Details

SALEM ASSISTED HOME CARE LLC is an 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 need assistance and/or monitoring to assure safety and well being. SALEM ASSISTED HOME CARE LLC NPI is 1609730266. The provider is registered as an organization entity type.

The provider's business location address is:

17655 W HALE BOPP DR
GOODYEAR, AZ
ZIP 85338-469
Phone: (602) 299-1060

The provider's authorized official is Jeumiel Kazadi .
The authorized official title is Ceo and has the following contact phone number (623) 313-4714.

The enumeration date for this NPI number is 12/9/2025 and was last updated on 12/9/2025.

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
1310400000XAssisted Living FacilityYes

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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