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PAVILION GUEST HOME
NPI 1194861716
Custodial Care Facility - Adult Care Home in Mesa, AZ

Active since January 30, 2007
2955 E MALLORY ST, MESA, AZ 85213(480) 654-8329(480) 830-4113 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavilion Guest Home NPPES

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

PAVILION GUEST HOME (NPI 1194861716) is a healthcare organization registered as an adult care home in Mesa, Arizona and active in the NPI registry since January 2007. The organization lists Marieta G. Hugo, Owner, as its authorized official.

NPPES Registry Identity

NPI1194861716
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePAVILION GUEST HOME
Location Address2955 E MALLORY STMesa, AZ 85213-1667
Mailing Address2955 E. Mallory St.Mesa, AZ 85213 · (480) 654-8329 · Fax (480) 830-4113
Phone(480) 654-8329
Fax(480) 830-4113
Organization SubpartNo
Authorized OfficialMarieta G. HugoOwner · (480) 654-8329
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194861716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in AZ · ALH 4489
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2955 E MALLORY ST, Mesa, AZ 85213
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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.

ANGELO ACSAYAN
Assisted Living Facility
2955 E MALLORY ST
MESA, AZ 85213
Maricopa County (480) 654-8196

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 Pavilion Guest Home's NPI number?

The NPI number for Pavilion Guest Home is 1194861716. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Pavilion Guest Home located?

Pavilion Guest Home is located at 2955 E Mallory St, Mesa, AZ 85213. The listed phone number is (480) 654-8329.

What is Pavilion Guest Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Pavilion Guest Home was last updated on August 22, 2020. 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.