Organization Active NPI

Deluxe Home LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1144028853
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DELUXE HOME LLC
Practice address
10801 N 45TH Dr
Glendale, AZ 85304-4404
Phone
(818) 497-3706
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Gregory Ethan Kigozi
Title
Owner
Phone
(818) 497-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10801 N 45TH Dr
Glendale, AZ 85304-4404

Mailing address

10801 N 45TH Dr
Glendale, AZ 85304-4404
Phone (818) 497-3706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1144028853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N 45TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044404",
            "telephone_number": "818-497-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N 45TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044404",
            "telephone_number": "818-497-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KIGOZI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-497-3706"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.