1. Home
  2. Directory
  3. Arizona
  4. El Mirage
  5. Assisted Living Facility
  6. NPI Profile

EL MIRAGE GROUP HOME LLC
NPI 1174247332
Assisted Living Facility in El Mirage, AZ

Active since September 30, 2022
13045 W PORT ROYALE LN, EL MIRAGE, AZ 85335(623) 694-5101 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About El Mirage Group Home Llc NPPES

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

EL MIRAGE GROUP HOME LLC (NPI 1174247332) is a healthcare organization registered as an assisted living facility in El Mirage, Arizona and active in the NPI registry since September 2022. The organization lists Cornelia Edoh, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1174247332
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEL MIRAGE GROUP HOME LLC
Location Address13045 W PORT ROYALE LNEl Mirage, AZ 85335-3428
Mailing Address13045 W Port Royale LnEl Mirage, AZ 85335-3428 · (623) 694-5101
Phone(623) 694-5101
Organization SubpartNo
Authorized OfficialCornelia EdohMember/manager · (623) 694-5101
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
✔ NPI 1174247332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
13045 W PORT ROYALE LN, El Mirage, AZ 85335
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

SUNRISE GARDENS ASSISTED LIVING LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
13045 W PORT ROYALE LN
EL MIRAGE, AZ 85335
Maricopa County (623) 289-7165
GLADYS TIH OWUOR
Assisted Living Facility
13045 W PORT ROYALE LN
EL MIRAGE, AZ 85335
Maricopa County (602) 592-5954
EL MIRAGE GROUP HOME
Assisted Living Facility
13045 W PORT ROYALE LN
EL MIRAGE, AZ 85335
Maricopa County (602) 367-6491

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 El Mirage Group Home LLC's NPI number?

The NPI number for El Mirage Group Home LLC is 1174247332. It was assigned to this organization in the NPPES registry on September 30, 2022.

Where is El Mirage Group Home LLC located?

El Mirage Group Home LLC is located at 13045 W Port Royale Ln, El Mirage, AZ 85335. The listed phone number is (623) 694-5101.

What is El Mirage Group Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for El Mirage Group Home LLC was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.