NPIMap

Organization Active NPI

Hope Light Care Homes , LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Peoria, AZ
National Provider Identifier
1750030649
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HOPE LIGHT CARE HOMES , LLC
Practice address
11204 W Seldon LN
Peoria, AZ 85345-3439
Phone
(480) 278-2047
NPI assigned
Mar 20, 2022
Last updated
Mar 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Samuel Ndayiragije
Title
Owner/Administrator
Phone
(480) 278-2047

Specialties & licenses 1

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

Addresses

Primary practice location

11204 W Seldon LN
Peoria, AZ 85345-3439

Mailing address

11204 W Seldon LN
Peoria, AZ 85345-3439
Phone (480) 278-2047

National Provider Directory

National Provider Directory
Tax ID family
Hope Light Care Homes LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1750030649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 W SELDON LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853453439",
            "telephone_number": "480-278-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11204 W SELDON LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853453439",
            "telephone_number": "480-278-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIGHT CARE HOMES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "NDAYIRAGIJE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-278-2047"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.