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PRESIDENTIAL MANSIONCARE, LLC
NPI 1437532991
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goodyear, AZ

Active since July 02, 2015
18428 W MIAMI ST, GOODYEAR, AZ 85338(623) 202-9583(623) 882-0715 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2023, Nov 10, 2023 (2 updates tracked since 2023).

About Presidential Mansioncare, Llc NPPES

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

PRESIDENTIAL MANSIONCARE, LLC (NPI 1437532991) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Goodyear, Arizona and active in the NPI registry since July 2015. The organization lists Kennedy Abba Keday Amughan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437532991
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePRESIDENTIAL MANSIONCARE, LLC
Location Address18428 W MIAMI STGoodyear, AZ 85338-7490
Mailing Address1647 S 170th AveGoodyear, AZ 85338-7324 · (623) 202-9583 · Fax (623) 215-2212
Phone(623) 202-9583
Fax(623) 882-0715
Organization SubpartNo
Authorized OfficialKennedy Abba Keday AmughanExecutive Director · (623) 202-9583
Enumeration DateJuly 2, 2015
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1437532991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in AZ · BH2753
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

18428 W MIAMI ST, Goodyear, AZ 85338
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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.

PRESIDENTIAL MANSIONCARE, LLC
Psychiatric Residential Treatment Facility
18428 W MIAMI ST
GOODYEAR, AZ 85338
Maricopa County (623) 202-9583
BV CARING HEARTS, LLC
Community/Behavioral Health
18428 W MIAMI ST
GOODYEAR, AZ 85338
Maricopa County (602) 364-9097

Frequently Asked Questions

What is PRESIDENTIAL MANSIONCARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1437532991, enumerated as an "organization" on July 02, 2015.

Where is the provider located?

The provider is located at 18428 W MIAMI ST GOODYEAR, AZ 85338 and the phone number is (623) 202-9583.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.