N/A
NPI 1508233867
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avondale, AZ

Q: What is Golden Dream Residential Care LLC's NPI number?

The NPI number for Golden Dream Residential Care LLC is 1508233867. It was assigned to this organization in the NPPES registry on August 21, 2015.

Q: What is Golden Dream Residential Care 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.

Active since August 21, 2015

621 S 115TH DR, AVONDALE, AZ 85323(623) 433-8189(623) 433-9678 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About N/a NPPES

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

N/A (NPI 1508233867) 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 2015. The organization lists William Ociti Marino, Ower, as its authorized official.

NPPES Registry Identity

NPI1508233867

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameGOLDEN DREAM RESIDENTIAL CARE LLC

Location Address621 S 115TH DRAvondale, AZ 85323-9141

Mailing Address621 S 115th DrAvondale, AZ 85323-9141 · (623) 433-8189 · Fax (623) 433-9678

Phone(623) 433-8189

Fax(623) 433-9678

Organization SubpartNo

Authorized OfficialWilliam Ociti MarinoOwer · (602) 299-9030

Enumeration DateAugust 21, 2015

✔ NPI 1508233867 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

License✔ Licensed in AZ · BH4619

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

621 S 115TH DR, Avondale, AZ 85323

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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 Golden Dream Residential Care LLC's NPI number?

The NPI number for Golden Dream Residential Care LLC is 1508233867. It was assigned to this organization in the NPPES registry on August 21, 2015.

Where is Golden Dream Residential Care LLC located?

Golden Dream Residential Care LLC is located at 621 S 115th Dr, Avondale, AZ 85323. The listed phone number is (623) 433-8189.

What is Golden Dream Residential Care 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 Golden Dream Residential Care LLC was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.