Organization Active NPI

Violet Residential Service Agency

  • In Home Supportive Care Agency
  • Avondale, AZ
National Provider Identifier
1962205302
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VIOLET RESIDENTIAL SERVICE AGENCY
Practice address
3800 N El Mirage Dr Apt 6317
Avondale, AZ 85392-4083
Phone
(928) 515-0730
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Violet Bi Njomgert
Title
Owner
Phone
(928) 515-0730

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

3800 N El Mirage Dr Apt 6317
Avondale, AZ 85392-4083

Mailing address

9106 Sandra CT
Randallstown, MD 21133-3317
Phone (681) 799-6067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1962205302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 SANDRA CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333317",
            "telephone_number": "681-799-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N EL MIRAGE DR APT 6317",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924083",
            "telephone_number": "928-515-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET RESIDENTIAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "NJOMGERT",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "BI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-515-0730"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.