Active NPI
Arizona Destiny Homes LLC
- Nursing Care Agency
- Goodyear, AZ
National Provider Identifier
1841075868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ARIZONA DESTINY HOMES LLC
- Practice address
- 16534 W Lilac St
Goodyear, AZ 85338-4535 - Phone
- (623) 428-3154
- NPI assigned
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Kemunto Orori, OWNER
- Title
- Owner
- Phone
- (623) 428-3154
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
16534 W Lilac St
Goodyear, AZ 85338-4535
Mailing address
16534 W Lilac St
Goodyear, AZ 85338-4535
Phone (623) 428-3154
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1841075868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16534 W LILAC ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384535",
"telephone_number": "623-428-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16534 W LILAC ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384535",
"telephone_number": "623-428-3154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA DESTINY HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "ORORI",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "KEMUNTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-428-3154",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
- Arizona Center for Hematology and Oncology, PLC
- Arizona CVS Stores LLC
- Arizona Dental Professionals, P.C.
- Arizona Dental Professionals, P.C.
- Arizona Desert Ear Nose & Throat Specialist, PLLC
- Arizona Foot & Ankle Specialists, LLC
- Arizona Love and Care LLC
- Arizona Oncology Associates PC
- Arizona Orthopedic Physical Therapy, PLLC
- Arizona Pain Consultant PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.