His Mercy Assisted LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

HIS MERCY ASSISTED LLC

Practice address

15204 W Westview Dr
Goodyear, AZ 85395-8292

Phone

(202) 290-7492

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Ayobami N AgoroNPI 1649878687

Title

Owner

Phone

(202) 290-7492

Specialties & licenses 1

Addresses

Tax ID family

His Mercy Assisted LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• His Mercy Assisted LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
  • NPI 1366030561
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayobami Noheem Agoro, CEO

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
  • NPI 1649878687
  NPD Authorized official

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1124767140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12362 W JOBLANCA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233130",
            "telephone_number": "202-290-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 W WESTVIEW DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958292",
            "telephone_number": "202-290-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS MERCY ASSISTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "AGORO",
        "authorized_official_first_name": "AYOBAMI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-290-7492"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Hilgers, D.D.S., M.S.
• Ryan Joseph Hill-Falkenthal, PA-C
• Cecelia S Hill
• Sydney Hilton, RDN
• Rita Maria Hinds
• Herbert Hitchon, DO
• Joshua Hobson, ATC
• Christine N Hockman, MS, OTR/L
• Shanieka Nashae Hodge
• Christine Dori Hoffman, NP

• Assisted Living Facility (Behavioral Disturbances) in Goodyear, AZ
• Providers in Goodyear, 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 May 27, 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.