Ideal Recovery Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

IDEAL RECOVERY HOMES LLC

Doing business as

Ideal Recovery Homes LLC

Practice address

16967 W Diana Ave
Waddell, AZ 85355-7635

Phone

(602) 413-7382

NPI assigned

Jul 29, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Adeyinka Ukonumu

Title

Facility Administrator

Phone

(602) 413-7382

Specialties & licenses 1

Addresses

Other names 1

• Ideal Recovery Homes LLC Doing business as

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1083443014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16967 W DIANA AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557635",
            "telephone_number": "602-413-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16967 W DIANA AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557635",
            "telephone_number": "602-413-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL RECOVERY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "UKONUMU",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "602-413-7382",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Recovery Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Waddell, AZ
• Providers in Waddell, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.