Active NPI
Mestiny Global Care, LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1013559376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MESTINY GLOBAL CARE, LLC
- Practice address
- 11417 N 33Rd Ave
Phoenix, AZ 85029-3236 - Phone
- (623) 552-0135
- NPI assigned
- Oct 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel A Oghenejabor
- Title
- Ceo/Administrator
- Phone
- (623) 552-0135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
11417 N 33Rd Ave
Phoenix, AZ 85029-3236
Mailing address
14539 W Boca Raton Rd
Surprise, AZ 85379-5715
Phone (623) 552-0135
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1013559376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14539 W BOCA RATON RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795715",
"telephone_number": "623-552-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 N 33RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293236",
"telephone_number": "623-552-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESTINY GLOBAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "OGHENEJABOR",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "623-552-0135",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.