ANGIE'S LLC
NPI 1043816572
Community Based Residential Treatment Facility, Mental Illness in Goodyear, AZ

Q: What is Angie's LLC's NPI number?

The NPI number for Angie's LLC is 1043816572. It was assigned to this organization in the NPPES registry on December 9, 2020. The provider is doing business as Goodyear home.

Q: What is Angie's LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angie's LLC was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2020

16796 W PIERCE ST, GOODYEAR, AZ 85338(623) 215-2767(623) 215-2927 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angie's Llc NPPES

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

ANGIE'S LLC (NPI 1043816572), doing business as Goodyear Home, is a healthcare organization registered as a community based residential treatment facility, mental illness in Goodyear, Arizona and active in the NPI registry since December 2020. The organization lists Mireille Mukiza, Cao, as its authorized official.

NPPES Registry Identity

NPI1043816572

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameANGIE'S LLC

Location Address16796 W PIERCE STGoodyear, AZ 85338-6167

Mailing Address16796 W Pierce StGoodyear, AZ 85338-6167 · (623) 792-0191 · Fax (623) 215-2927

Phone(623) 215-2767

Fax(623) 215-2927

Organization SubpartNo

Authorized OfficialMireille MukizaCao · (623) 792-0191

Enumeration DateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1043816572 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

Definition

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

16796 W PIERCE ST, Goodyear, AZ 85338

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Other Names 1

Doing Business AsGoodyear Home

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 Angie's LLC's NPI number?

The NPI number for Angie's LLC is 1043816572. It was assigned to this organization in the NPPES registry on December 9, 2020. The provider is doing business as Goodyear home.

Where is Angie's LLC located?

Angie's LLC is located at 16796 W Pierce St, Goodyear, AZ 85338. The listed phone number is (623) 215-2767.

What is Angie's 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 Angie's LLC was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.