Salem Assisted Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SALEM ASSISTED HOME CARE LLC

Practice address

17655 W Hale Bopp Dr
Goodyear, AZ 85338-5469

Phone

(602) 299-1060

NPI assigned

Dec 9, 2025

Organization subpart

No

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

Authorized official

Name

Jeumiel Kazadi

Title

Ceo

Phone

(623) 313-4714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1609730266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17655 W HALE BOPP DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385469",
            "telephone_number": "602-299-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17655 W HALE BOPP DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385469",
            "telephone_number": "602-299-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM ASSISTED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "KAZADI",
        "authorized_official_first_name": "JEUMIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-313-4714"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Goodyear, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.