NPIMap

Organization Active NPI

Hope Behavioral Health Residential Care LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Goodyear, AZ
National Provider Identifier
1912561176
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE LLC
Practice address
17547 W Desert Bloom St
Goodyear, AZ 85338-4713
Phone
(602) 820-2225
Fax
(623) 925-2076
NPI assigned
Apr 23, 2019
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Christopher OdetoyeNPI 1821413071
Title
Ceo
Phone
(623) 925-8606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

17547 W Desert Bloom St
Goodyear, AZ 85338-4713

Mailing address

17547 W Desert Bloom St
Goodyear, AZ 85338-4713
Phone (602) 820-2251

National Provider Directory

National Provider Directory
Tax ID family
Hope Behavioral Health Residential Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1912561176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17547 W DESERT BLOOM ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384713",
            "telephone_number": "602-820-2251",
            "fax_number": "623-925-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17547 W DESERT BLOOM ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384713",
            "telephone_number": "602-820-2225",
            "fax_number": "623-925-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ODETOYE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-925-8606"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "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 Feb 6, 2026; 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.