ARIZONA HOMES OF MIRACLES LLC
NPI 1053905208
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since February 26, 2021
3205 S 63RD LN, PHOENIX, AZ 85043(623) 440-2377 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona Homes Of Miracles Llc NPPES

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

ARIZONA HOMES OF MIRACLES LLC (NPI 1053905208) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Abdisaak Mohamud, Owner, as its authorized official.

NPPES Registry Identity

NPI1053905208
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameARIZONA HOMES OF MIRACLES LLC
Location Address3205 S 63RD LNPhoenix, AZ 85043-1958
Mailing Address3205 S 63rd LnPhoenix, AZ 85043-1958
Organization SubpartNo
Authorized OfficialAbdisaak MohamudOwner · (612) 306-0639
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1053905208 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.
3205 S 63RD LN, Phoenix, AZ 85043

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
3205 S 63RD LN
PHOENIX, AZ 85043

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 Arizona Homes Of Miracles LLC's NPI number?

The NPI number for Arizona Homes Of Miracles LLC is 1053905208. It was assigned to this organization in the NPPES registry on February 26, 2021.

Where is Arizona Homes Of Miracles LLC located?

Arizona Homes Of Miracles LLC is located at 3205 S 63rd Ln, Phoenix, AZ 85043. The listed phone number is (623) 440-2377.

What is Arizona Homes Of Miracles 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 Arizona Homes Of Miracles LLC was last updated on February 26, 2021. 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.