BEHAVIORAL HEALTH RESIDENTIAL FACILITY
NPI 1518707744
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Avondale, AZ

Active since May 27, 2024
11202 W PIERCE ST, AVONDALE, AZ 85323(480) 686-5901 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 7, 2025, Dec 12, 2024 (2 updates tracked since 2024).

About Behavioral Health Residential Facility NPPES

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

BEHAVIORAL HEALTH RESIDENTIAL FACILITY (NPI 1518707744) is a healthcare organization registered as an assisted living, behavioral disturbances in Avondale, Arizona and active in the NPI registry since May 2024. The organization lists Mathenge Sangarie, Owner, as its authorized official.

NPPES Registry Identity

NPI1518707744
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameKISMA HOME CARE LLC
Location Address11202 W PIERCE STAvondale, AZ 85323-7917
Mailing Address11202 W Pierce StAvondale, AZ 85323-7917 · (480) 686-5901
Organization SubpartNo
Authorized OfficialMathenge SangarieOwner · (480) 686-5901
Enumeration DateMay 27, 2024
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1518707744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
11202 W PIERCE ST, Avondale, AZ 85323

Other Names 1

Doing Business AsBehavioral Health Residential Facility

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 Kisma Home Care LLC's NPI number?

The NPI number for Kisma Home Care LLC is 1518707744. It was assigned to this organization in the NPPES registry on May 27, 2024. The provider is doing business as Behavioral Health Residential Facility.

Where is Kisma Home Care LLC located?

Kisma Home Care LLC is located at 11202 W Pierce St, Avondale, AZ 85323. The listed phone number is (480) 686-5901.

What is Kisma Home Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Kisma Home Care LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.