Mateenah'S Manor Assisted Living Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MATEENAH'S MANOR ASSISTED LIVING HOMES, LLC

Practice address

4515 W Pearce Rd
Laveen, AZ 85339-7784

Phone

(602) 432-8319

NPI assigned

Jul 9, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Muhammad

Title

Manager

Phone

(602) 432-8319

Specialties & licenses 1

Addresses

Other names 1

• Mateenah's Manor Other name

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1285524280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S 108TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233306",
            "telephone_number": "602-432-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 W PEARCE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397784",
            "telephone_number": "602-432-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEENAH'S MANOR ASSISTED LIVING HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-432-8319",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mateenah's Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.