Comprehensive Group Home LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

COMPREHENSIVE GROUP HOME LLC

Practice address

4628 W Magdalena LN
Laveen, AZ 85339-2353

Phone

(602) 585-7091

NPI assigned

Jun 1, 2023

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tesfahun Worku Oute

Title

Owner/Member

Phone

(602) 585-7081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1518650704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 W MAGDALENA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392353",
            "telephone_number": "602-585-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 W MAGDALENA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392353",
            "telephone_number": "602-585-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "OUTE",
        "authorized_official_first_name": "TESFAHUN",
        "authorized_official_middle_name": "WORKU",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "602-585-7081"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.