1. Home
  2. Directory
  3. Arizona
  4. Laveen
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

MARY GROUP HOME LLC
NPI 1619590478
Community Based Residential Treatment Facility, Mental Illness in Laveen, AZ

Active since May 27, 2020
8025 S 47TH LN, LAVEEN, AZ 85339(480) 577-7777 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Group Home Llc NPPES

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

MARY GROUP HOME LLC (NPI 1619590478) is a healthcare organization registered as a community based residential treatment facility, mental illness in Laveen, Arizona and active in the NPI registry since May 2020. The organization lists Reem Naeum Naeum, Owner, as its authorized official.

NPPES Registry Identity

NPI1619590478
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARY GROUP HOME LLC
Location Address8025 S 47TH LNLaveen, AZ 85339-2393
Mailing Address348 S Park Grove LnGilbert, AZ 85296-1731
Phone(480) 577-7777
Organization SubpartNo
Authorized OfficialReem Naeum NaeumOwner · (623) 565-0010
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1619590478 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.
8025 S 47TH LN, Laveen, AZ 85339
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

CHRISTINE REBECCA TUSIIME
Case Manager/Care Coordinator
8025 S 47TH LN
LAVEEN, AZ 85339
Maricopa County (602) 489-6300

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 Mary Group Home LLC's NPI number?

The NPI number for Mary Group Home LLC is 1619590478. It was assigned to this organization in the NPPES registry on May 27, 2020.

Where is Mary Group Home LLC located?

Mary Group Home LLC is located at 8025 S 47th Ln, Laveen, AZ 85339. The listed phone number is (480) 577-7777.

What is Mary Group Home 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 Mary Group Home LLC was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.