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PREMIER GROUP HOME
NPI 1639684319
Assisted Living Facility in Avondale, AZ

Active since December 04, 2017
11003 W ALVARADO RD, AVONDALE, AZ 85392(480) 465-2944 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About PREMIER GROUP HOME

This page provides the complete NPI Profile along with additional information for Premier Group Home, a provider established in Avondale, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1639684319 assigned on December 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Nora Cruz (President)

NPI
1639684319 Verify this NPI
Provider Name
PREMIER GROUP HOME
Entity Type
Organization
Location Address
11003 W ALVARADO RD AVONDALE, AZ 85392
Location Phone
(480) 465-2944
Mailing Address
11003 W ALVARADO RD AVONDALE, AZ 85392
Mailing Phone
(480) 465-2944
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2017
Last Update Date
12-04-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NORA CRUZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 465-2944

Reviews for PREMIER GROUP HOME

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

INFINITE LUV HOME CARE LLC
Assisted Living Facility
11003 W ALVARADO RD
AVONDALE, AZ 85392
Maricopa County (480) 518-5970

Frequently Asked Questions

What is PREMIER GROUP HOME's NPI number?

The NPI number assigned to this healthcare provider is 1639684319, enumerated as an "organization" on December 04, 2017.

Where is the provider located?

The provider is located at 11003 W ALVARADO RD AVONDALE, AZ 85392 and the phone number is (480) 465-2944.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.