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M & M RESIDENTIAL HOME LLC
NPI 1336646678
Community Based Residential Treatment Facility, Mental Illness in Peoria, AZ

Active since April 12, 2018
8572 W PALO VERDE AVE, PEORIA, AZ 85345(623) 249-3105(623) 249-3105 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About M & M Residential Home Llc NPPES

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

M & M RESIDENTIAL HOME LLC (NPI 1336646678) is a healthcare organization registered as a community based residential treatment facility, mental illness in Peoria, Arizona and active in the NPI registry since April 2018. The organization lists Mavis Panford, Program Director, as its authorized official.

NPPES Registry Identity

NPI1336646678
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameM & M RESIDENTIAL HOME LLC
Location Address8572 W PALO VERDE AVEPeoria, AZ 85345-5354
Mailing Address8572 W Palo Verde AvePeoria, AZ 85345-5354 · (623) 249-3105 · Fax (623) 249-3105
Phone(623) 249-3105
Fax(623) 249-3105
Organization SubpartNo
Authorized OfficialMavis PanfordProgram Director · (573) 855-1210
Enumeration DateApril 12, 2018
✔ NPI 1336646678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH5412
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
8572 W PALO VERDE AVE, Peoria, AZ 85345
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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.

HOME AWAY FROM HOME BEHAVIORAL HEALTH RESIDENTIAL FACILITY
Residential Treatment Facility, Emotionally Disturbed Children
8572 W PALO VERDE AVE
PEORIA, AZ 85345
Maricopa County (623) 312-3485
HUMBLE HOUSE
Residential Treatment Facility, Emotionally Disturbed Children
8572 W PALO VERDE AVE
PEORIA, AZ 85345
Maricopa County (623) 937-3443
MARTHA'S RESIDENTIAL CARE LLC
Community Based Residential Treatment Facility, Mental Illness
8572 W PALO VERDE AVE
PEORIA, AZ 85345
Maricopa County (480) 217-6996

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 M & M Residential Home LLC's NPI number?

The NPI number for M & M Residential Home LLC is 1336646678. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is M & M Residential Home LLC located?

M & M Residential Home LLC is located at 8572 W Palo Verde Ave, Peoria, AZ 85345. The listed phone number is (623) 249-3105.

What is M & M Residential Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for M & M Residential Home LLC was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.