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MARY GROUP HOME LLC
NPI 1033645668
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since May 02, 2017
15111 N 33RD PL, PHOENIX, AZ 85032(623) 565-3922 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Group Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GROUP HOME LLC (NPI 1033645668) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since May 2017. The organization lists Abdalla Elkhalifa, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1033645668
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARY GROUP HOME LLC
Location Address15111 N 33RD PLPhoenix, AZ 85032-4552
Mailing Address2084 E Washington AveGilbert, AZ 85234-6229 · (623) 565-3922
Phone(623) 565-3922
Organization SubpartNo
Authorized OfficialAbdalla ElkhalifaCeo/owner · (623) 565-3922
Enumeration DateMay 2, 2017
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1033645668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH5112
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

15111 N 33RD PL, Phoenix, AZ 85032
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INFINITY GROUPS HOMES LLC
Community/Behavioral Health
15111 N 33RD PL
PHOENIX, AZ 85032
Maricopa County (480) 907-4474
MOZAMIL ABDELRAHMAN
Contractor
15111 N 33RD PL
PHOENIX, AZ 85032
Maricopa County (480) 907-4474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Group Home LLC's NPI number?

The NPI number for Mary Group Home LLC is 1033645668. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Mary Group Home LLC located?

Mary Group Home LLC is located at 15111 N 33rd Pl, Phoenix, AZ 85032. The listed phone number is (623) 565-3922.

What is Mary Group Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Mary Group Home LLC was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.