EZRA GROUP HOME LLC
NPI 1205584695
Community/Behavioral Health in Laveen, AZ

Active since March 14, 2022
6818 S 44TH AVE, LAVEEN, AZ 85339(602) 315-2058 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ezra Group Home Llc NPPES

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

EZRA GROUP HOME LLC (NPI 1205584695) is a healthcare organization registered as a community/behavioral health in Laveen, Arizona and active in the NPI registry since March 2022. The organization lists Zenebech Girma, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205584695
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEZRA GROUP HOME LLC
Location Address6818 S 44TH AVELaveen, AZ 85339-6252
Mailing Address6818 S 44th AveLaveen, AZ 85339-6252 · (602) 315-2058
Organization SubpartNo
Authorized OfficialZenebech GirmaAdministrator · (602) 315-2058
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1205584695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6818 S 44TH AVE, Laveen, AZ 85339

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 Ezra Group Home LLC's NPI number?

The NPI number for Ezra Group Home LLC is 1205584695. It was assigned to this organization in the NPPES registry on March 14, 2022.

Where is Ezra Group Home LLC located?

Ezra Group Home LLC is located at 6818 S 44th Ave, Laveen, AZ 85339. The listed phone number is (602) 315-2058.

What is Ezra Group Home LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ezra Group Home LLC was last updated on March 14, 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.