HIS MERCY ASSISTED LLC
NPI 1366030561
Community Based Residential Treatment Facility, Mental Illness in Avondale, AZ

Active since January 04, 2021
12362 W JOBLANCA RD, AVONDALE, AZ 85323(623) 600-8926 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About His Mercy Assisted Llc NPPES

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

HIS MERCY ASSISTED LLC (NPI 1366030561) is a healthcare organization registered as a community based residential treatment facility, mental illness in Avondale, Arizona and active in the NPI registry since January 2021. The organization lists Ayo Agoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1366030561
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHIS MERCY ASSISTED LLC
Location Address12362 W JOBLANCA RDAvondale, AZ 85323-3130
Mailing Address12362 W Joblanca RdAvondale, AZ 85323-3130 · (623) 600-8926
Organization SubpartNo
Authorized OfficialAyo AgoroOwner · (623) 600-8926
Enumeration DateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
NPI 1366030561 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
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
12362 W JOBLANCA RD, Avondale, AZ 85323

Other Names 1

Doing Business AsHis Mercy Assisted Llc

Other Identifiers 1

OtherBH6411AZ · State

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
12362 W JOBLANCA RD
AVONDALE, AZ 85323

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 His Mercy Assisted LLC's NPI number?

The NPI number for His Mercy Assisted LLC is 1366030561. It was assigned to this organization in the NPPES registry on January 4, 2021.

Where is His Mercy Assisted LLC located?

His Mercy Assisted LLC is located at 12362 W Joblanca Rd, Avondale, AZ 85323. The listed phone number is (623) 600-8926.

What is His Mercy Assisted 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 His Mercy Assisted LLC was last updated on January 4, 2021. 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.