Mercy4Care Behavioral Home LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

MERCY4CARE BEHAVIORAL HOME LLC

Practice address

5416 W Beautiful LN
Laveen, AZ 85339-7103

Phone

(602) 668-8988

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Alia H Abdulle

Title

Member/Owner

Phone

(602) 668-8988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1083336515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 W BEAUTIFUL LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397103",
            "telephone_number": "602-668-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 W BEAUTIFUL LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397103",
            "telephone_number": "602-668-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY4CARE BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "ALIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "602-668-8988"
    },
    "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 Laveen, AZ
• Providers in Laveen, 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 Sep 12, 2022; 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.