GOODYEAR ASSISTED LIVING HOME, LLC
NPI 1730894569
Assisted Living Facility in Goodyear, AZ
- Organization
- Assisted Living Facility
About GOODYEAR ASSISTED LIVING HOME, LLC
This page provides the complete NPI Profile along with additional information for Goodyear Assisted Living Home, Llc, a provider established in Goodyear, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1730894569 assigned on January 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jacob Awandem (Owner)
- NPI
- 1730894569 Verify this NPI
- Provider Name
- GOODYEAR ASSISTED LIVING HOME, LLC
- Entity Type
- Organization
- Location Address
- 14808 W AMELIA AVE GOODYEAR, AZ 85395
- Location Phone
- (623) 600-8624
- Mailing Address
- 14808 W AMELIA AVE GOODYEAR, AZ 85395
- Mailing Phone
- (623) 600-8624
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2023
- Last Update Date
- 01-17-2023
- Code Navigator
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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GOODYEAR, AZ 85395
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730894569, enumerated as an "organization" on January 17, 2023.
The provider is located at 14808 W AMELIA AVE GOODYEAR, AZ 85395 and the phone number is (623) 600-8624.
Assisted Living Facility with taxonomy code 310400000X.
