Organization Active NPI

Morning Glory Adult Care LLC

  • Assisted Living Facility (Mental Illness)
  • Mesa, AZ
National Provider Identifier
1033780861
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
MORNING GLORY ADULT CARE LLC
Practice address
3065 S Canfield
Mesa, AZ 85212-1899
Phone
(480) 427-5097
Fax
(480) 687-2783
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Woyengipriye Tonia Akinyoyenu
Title
Manager
Phone
(480) 427-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

3065 S Canfield
Mesa, AZ 85212-1899

Mailing address

1302 W Kesler LN
Chandler, AZ 85224-7286
Phone (480) 427-5097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1033780861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247286",
            "telephone_number": "480-427-5097",
            "fax_number": "480-687-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S CANFIELD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121899",
            "telephone_number": "480-427-5097",
            "fax_number": "480-687-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "AKINYOYENU",
        "authorized_official_first_name": "WOYENGIPRIYE",
        "authorized_official_middle_name": "TONIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-427-5097"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.