Gifted Hearts Group Homes LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

GIFTED HEARTS GROUP HOMES LLC

Practice address

45763 W Dirk St
Maricopa, AZ 85139-6611

Phone

(602) 303-8582

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Andrews Samuka, BUSINESS OWNER

Title

Co-Owner

Phone

(928) 257-7819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1023570355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45763 W DIRK ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396611",
            "telephone_number": "602-303-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45763 W DIRK ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396611",
            "telephone_number": "602-303-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HEARTS GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "SAMUKA",
        "authorized_official_first_name": "ANDREWS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-257-7819",
        "authorized_official_credential": "BUSINESS OWNER"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.