NPIMap

Organization Active NPI

Psalms Manor LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1417818196
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PSALMS MANOR LLC
Practice address
7108 S 74TH Dr
Laveen, AZ 85339-5087
Phone
(951) 497-9974
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Rose Ifeacho
Title
Ceo
Phone
(951) 497-9974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7108 S 74TH Dr
Laveen, AZ 85339-5087

Mailing address

7108 S 74TH Dr
Laveen, AZ 85339-5087
Phone (951) 497-9974

National Provider Directory

National Provider Directory
Tax ID family
Psalms Manor 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.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1417818196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S 74TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395087",
            "telephone_number": "951-497-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 S 74TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395087",
            "telephone_number": "951-497-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSALMS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "IFEACHO",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-497-9974"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.