WAGONER CARE LLC
NPI 1093373318
Community Based Residential Treatment Facility, Mental Illness in Glendale, AZ

Q: What is Wagoner Care LLC's NPI number?

The NPI number for Wagoner Care LLC is 1093373318. It was assigned to this organization in the NPPES registry on June 1, 2019.

Q: What is Wagoner Care 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 Wagoner Care LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 01, 2019

6127 W WAGONER RD, GLENDALE, AZ 85308(602) 334-1788 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Jun 1, 2019 (2 updates tracked since 2019).

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About Wagoner Care Llc NPPES

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

WAGONER CARE LLC (NPI 1093373318) is a healthcare organization registered as a community based residential treatment facility, mental illness in Glendale, Arizona and active in the NPI registry since June 2019. The organization lists Christopher Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1093373318

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameWAGONER CARE LLC

Location Address6127 W WAGONER RDGlendale, AZ 85308-1150

Mailing Address8465 W Grand AvePeoria, AZ 85345-8102

Phone(602) 334-1788

Organization SubpartNo

Authorized OfficialChristopher HughesOwner · (623) 776-9189

Enumeration DateJune 1, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1093373318 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.

6127 W WAGONER RD, Glendale, AZ 85308

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Other Providers at the Same Location NPPES

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

HALLMARK ASSISTED LIVING @ WAGONER, LLC

Assisted Living Facility

6127 W WAGONER RD
GLENDALE, AZ 85308

Maricopa County (602) 354-8941

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 Wagoner Care LLC's NPI number?

The NPI number for Wagoner Care LLC is 1093373318. It was assigned to this organization in the NPPES registry on June 1, 2019.

Where is Wagoner Care LLC located?

Wagoner Care LLC is located at 6127 W Wagoner Rd, Glendale, AZ 85308. The listed phone number is (602) 334-1788.

What is Wagoner Care 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 Wagoner Care LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.