Maxcare Group Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAXCARE GROUP HOMES LLC

Doing business as

MaxCare Assisted Living Home

Practice address

45596 W Windmill Dr
Maricopa, AZ 85139-7091

Phone

(602) 512-1338

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By 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

Ron R Mogambi-Marita

Title

Owner

Phone

(201) 736-8264

Specialties & licenses 1

Addresses

Other names 1

• MaxCare Assisted Living Home Doing business as

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1114599933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45596 W WINDMILL DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851397091",
            "telephone_number": "602-512-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45596 W WINDMILL DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851397091",
            "telephone_number": "602-512-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "MOGAMBI-MARITA",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-736-8264"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxCare Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela S Marshall
• Pamela Del Carmen Marte Perez, NDM
• Catherine Anne Martin, LPN
• Angela R Martinelli, RN
• Lori L Matelski
• Marie Susan Maya, RN
• Natasha Mays
• Shakirra D Mayweather, NMD
• Dario Mazon
• Taylor McCarthy, MA

• Assisted Living Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.