DIGNITY BEHAVIORAL HEALTH RESIDENTIAL, LLC
NPI 1104581230
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Q: What is Dignity Behavioral Health Residential, LLC's specialty?

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

Active since November 03, 2021

10817 W SAN JUAN AVE, PHOENIX, AZ 85037(320) 292-9088 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dignity Behavioral Health Residential, Llc NPPES

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

DIGNITY BEHAVIORAL HEALTH RESIDENTIAL, LLC (NPI 1104581230), doing business as Dignity Behavioral Health Residential, is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since November 2021. The organization lists Pelagie Maombi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104581230

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameDIGNITY BEHAVIORAL HEALTH RESIDENTIAL, LLC

Location Address10817 W SAN JUAN AVEPhoenix, AZ 85037-5622

Mailing Address10817 W San Juan AvePhoenix, AZ 85037-5622 · (320) 292-9088

Phone(320) 292-9088

Organization SubpartNo

Authorized OfficialPelagie MaombiCeo · (480) 466-3852

Enumeration DateNovember 3, 2021

NPPES CertifiedNovember 3, 2021

✔ NPI 1104581230 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.

10817 W SAN JUAN AVE, Phoenix, AZ 85037

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Other Names 1

Doing Business AsDignity Behavioral Health Residential

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 Dignity Behavioral Health Residential, LLC's NPI number?

The NPI number for Dignity Behavioral Health Residential, LLC is 1104581230. It was assigned to this organization in the NPPES registry on November 3, 2021. The provider is doing business as Dignity Behavioral Health Residential.

Where is Dignity Behavioral Health Residential, LLC located?

Dignity Behavioral Health Residential, LLC is located at 10817 W San Juan Ave, Phoenix, AZ 85037. The listed phone number is (320) 292-9088.

What is Dignity Behavioral Health Residential, 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 Dignity Behavioral Health Residential, LLC was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.