Active NPI
Lenu Group Home LLC
- Assisted Living Facility (Behavioral Disturbances)
- Phoenix, AZ
National Provider Identifier
1184394538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- Legal business name
- LENU GROUP HOME LLC
- Practice address
- 1515 E Charleston Ave
Phoenix, AZ 85022-1265 - Phone
- (480) 570-2832
- NPI assigned
- Sep 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bari Deeyor
- Title
- Owner
- Phone
- (480) 570-2832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | Primary |
Addresses
Primary practice location
1515 E Charleston Ave
Phoenix, AZ 85022-1265
Mailing address
5777 E Night Glow Cir
Scottsdale, AZ 85266-5250
Phone (480) 570-2832
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1871823146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1184394538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 E NIGHT GLOW CIR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852665250",
"telephone_number": "480-570-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E CHARLESTON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221265",
"telephone_number": "480-570-2832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENU GROUP HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "DEEYOR",
"authorized_official_first_name": "BARI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-570-2832"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 16, 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.