GOODYEAR ASSISTED LIVING HOME, LLC
NPI 1730894569
Assisted Living Facility in Goodyear, AZ

Q: What is Goodyear Assisted Living Home, LLC's NPI number?

The NPI number for Goodyear Assisted Living Home, LLC is 1730894569. It was assigned to this organization in the NPPES registry on January 17, 2023. The provider is doing business as Goodyear Assisted Living Home.

Q: What is Goodyear Assisted Living Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 17, 2023

14808 W AMELIA AVE, GOODYEAR, AZ 85395(623) 600-8624 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Goodyear Assisted Living Home, Llc NPPES

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

GOODYEAR ASSISTED LIVING HOME, LLC (NPI 1730894569), doing business as Goodyear Assisted Living Home, is a healthcare organization registered as an assisted living facility in Goodyear, Arizona and active in the NPI registry since January 2023. The organization lists Jacob Awandem, Owner, as its authorized official.

NPPES Registry Identity

NPI1730894569

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGOODYEAR ASSISTED LIVING HOME, LLC

Location Address14808 W AMELIA AVEGoodyear, AZ 85395-8205

Mailing Address14808 W Amelia AveGoodyear, AZ 85395-8205 · (623) 600-8624

Phone(623) 600-8624

Organization SubpartNo

Authorized OfficialJacob AwandemOwner · (781) 346-1858

Enumeration DateJanuary 17, 2023

NPPES CertifiedJanuary 16, 2023

✔ NPI 1730894569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

14808 W AMELIA AVE, Goodyear, AZ 85395

Open in Google Maps ↗

Other Names 1

Doing Business AsGoodyear Assisted Living Home

Other Providers at the Same Location NPPES

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

CAMELIA DRAGOMIR AND ANDREI IONUT DANILA DBA GOODYEAR ASSISTED LIVING

Assisted Living Facility

14808 W AMELIA AVE
GOODYEAR, AZ 85395

Maricopa County (623) 225-7990

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 Goodyear Assisted Living Home, LLC's NPI number?

The NPI number for Goodyear Assisted Living Home, LLC is 1730894569. It was assigned to this organization in the NPPES registry on January 17, 2023. The provider is doing business as Goodyear Assisted Living Home.

Where is Goodyear Assisted Living Home, LLC located?

Goodyear Assisted Living Home, LLC is located at 14808 W Amelia Ave, Goodyear, AZ 85395. The listed phone number is (623) 600-8624.

What is Goodyear Assisted Living Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Goodyear Assisted Living Home, LLC was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.