Organization Active NPI

Arizona Destiny Homes LLC

  • Nursing Care Agency
  • Goodyear, AZ
National Provider Identifier
1841075868
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Aug 28, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.