Organization Active NPI

Paraclete Haven of Grace, LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1134043474
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARACLETE HAVEN OF GRACE, LLC
Practice address
4555 N 89TH Ave
Phoenix, AZ 85037-1429
Phone
(480) 953-8185
NPI assigned
Aug 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Jaime Estoesta Jr.
Title
Owner
Phone
(480) 953-8185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4555 N 89TH Ave
Phoenix, AZ 85037-1429

Mailing address

4555 N 89TH Ave
Phoenix, AZ 85037-1429
Phone (480) 953-8185

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SYNCWISE Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1134043474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 N 89TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371429",
            "telephone_number": "480-953-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 N 89TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371429",
            "telephone_number": "480-953-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACLETE HAVEN OF GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "ESTOESTA JR.",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-953-8185"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SYNCWISE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4555 N 89th Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850371429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.