MONAMI GROUP HOME LLC
NPI 1215588629
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since September 26, 2019
9138 E DENNIS ST, MESA, AZ 85207(480) 380-4413(480) 530-5408 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2020, Sep 26, 2019 (2 updates tracked since 2019).

About Monami Group Home Llc NPPES

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

MONAMI GROUP HOME LLC (NPI 1215588629) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since September 2019. The organization lists Salim Otieno Odiero, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1215588629
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMON AMI GROUP HOME
Location Address9138 E DENNIS STMesa, AZ 85207-6008
Mailing Address9138 E Dennis StMesa, AZ 85207-6008 · (480) 380-4413 · Fax (480) 530-5408
Fax(480) 530-5408
Organization SubpartNo
Authorized OfficialSalim Otieno OdieroC.e.o · (480) 380-4413
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1215588629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
9138 E DENNIS ST, Mesa, AZ 85207

Other Names 1

Doing Business AsMonami Group Home Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9138 E DENNIS ST
MESA, AZ 85207
Community Based Residential Treatment Facility, Mental Illness
9138 E DENNIS ST
MESA, AZ 85207
Counselor (Pastoral)
9138 E DENNIS ST
MESA, AZ 85207
Substance Abuse Rehabilitation Facility
9138 E DENNIS ST
MESA, AZ 85207

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 Mon Ami Group Home's NPI number?

The NPI number for Mon Ami Group Home is 1215588629. It was assigned to this organization in the NPPES registry on September 26, 2019. The provider is doing business as Monami Group Home LLC.

Where is Mon Ami Group Home located?

Mon Ami Group Home is located at 9138 E Dennis St, Mesa, AZ 85207. The listed phone number is (480) 380-4413.

What is Mon Ami Group Home's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mon Ami Group Home was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.