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HIS MERCY ASSISTED LLC
NPI 1124767140
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Goodyear, AZ

Active since May 27, 2022
15204 W WESTVIEW DR, GOODYEAR, AZ 85395(202) 290-7492 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About His Mercy Assisted Llc NPPES

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

HIS MERCY ASSISTED LLC (NPI 1124767140) is a healthcare organization registered as an assisted living, behavioral disturbances in Goodyear, Arizona and active in the NPI registry since May 2022. The organization lists Ayobami N Agoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1124767140
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameHIS MERCY ASSISTED LLC
Location Address15204 W WESTVIEW DRGoodyear, AZ 85395-8292
Mailing Address12362 W Joblanca RdAvondale, AZ 85323-3130 · (202) 290-7492
Phone(202) 290-7492
Organization SubpartNo
Authorized OfficialAyobami N AgoroOwner · (202) 290-7492
Enumeration DateMay 27, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1124767140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
15204 W WESTVIEW DR, Goodyear, AZ 85395
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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.

ZAHRIS
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
15204 W WESTVIEW DR
GOODYEAR, AZ 85395
Maricopa County (402) 968-5295
PARADISE ABODE BEHAVIORAL
Community Based Residential Treatment Facility, Mental Illness
15204 W WESTVIEW DR
GOODYEAR, AZ 85395
Maricopa County (602) 326-2682

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 His Mercy Assisted LLC's NPI number?

The NPI number for His Mercy Assisted LLC is 1124767140. It was assigned to this organization in the NPPES registry on May 27, 2022.

Where is His Mercy Assisted LLC located?

His Mercy Assisted LLC is located at 15204 W Westview Dr, Goodyear, AZ 85395. The listed phone number is (202) 290-7492.

What is His Mercy Assisted LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for His Mercy Assisted LLC was last updated on May 27, 2022. 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.