Mon Ami Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MON AMI GROUP HOME

Practice address

9138 E Dennis St
Mesa, AZ 85207-6008

Phone

(480) 380-4413

NPI assigned

Jan 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Salim Otieno Odiero, CEONPI 1144836669

Title

Administrator

Phone

(503) 805-9203

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salim Otieno Odiero

  • Mental Illness Community Based Residential Treatment Facility
  • Mesa, AZ
  • NPI 1144836669
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1013481993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 E DENNIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076008",
            "telephone_number": "480-380-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 E DENNIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076008",
            "telephone_number": "480-380-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON AMI GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "ODIERO",
        "authorized_official_first_name": "SALIM",
        "authorized_official_middle_name": "OTIENO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-805-9203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollen Travel Vaccines, PLLC
• Annika Moller
• Matthew Moller
• Lindsey Rae Molner, LAC
• Iulian Molocea, PHARMD
• Mon Ami Group Home
• Verene Christinw Monaco, PH.D.
• William Shawn Monahan, D.M.D
• Hooman Monajemi
• Monas Care LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.