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FAMILY HOME LLC
NPI 1396520011
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avondale, AZ

Active since August 30, 2023
10423 W EDGEMONT DR, AVONDALE, AZ 85392(480) 358-7850 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Home Llc NPPES

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

FAMILY HOME LLC (NPI 1396520011) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Avondale, Arizona and active in the NPI registry since August 2023. The organization lists Mojok Ajawin, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1396520011
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFAMILY HOME LLC
Location Address10423 W EDGEMONT DRAvondale, AZ 85392-4652
Mailing Address6035 W Kristal WayGlendale, AZ 85308-7802 · (480) 358-7850
Phone(480) 358-7850
Organization SubpartNo
Authorized OfficialMojok AjawinManager/owner · (480) 358-7850
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1396520011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
10423 W EDGEMONT DR, Avondale, AZ 85392
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Other Names 1

Doing Business AsFamily Home Llc

Other Providers at the Same Location NPPES 2

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

TOGETHER BHRF
Psychologist (Addiction (Substance Use Disorder))
10423 W EDGEMONT DR
AVONDALE, AZ 85392
Maricopa County (480) 358-7850
BRIGHTER OPPORTUNITIES LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
10423 W EDGEMONT DR
AVONDALE, AZ 85392
Maricopa County (480) 600-8371

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 Family Home LLC's NPI number?

The NPI number for Family Home LLC is 1396520011. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is Family Home LLC located?

Family Home LLC is located at 10423 W Edgemont Dr, Avondale, AZ 85392. The listed phone number is (480) 358-7850.

What is Family Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Family Home LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.