MARY GROUP HOME LLC
NPI 1770477093
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ
About Mary Group Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GROUP HOME LLC (NPI 1770477093) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since June 2025. The organization lists Abdalla Elkhalifa, Ceo / Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1770477093. It was assigned to this organization in the NPPES registry on June 3, 2025.
Where is Mary Group Home LLC located?
Mary Group Home LLC is located at 3523 E Everett Dr, Phoenix, AZ 85032. The listed phone number is (623) 565-3922.
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 June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mary Group Home Llc · NPI 1770477093
Community Based Residential Treatment Facility, Mental Illness organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 3, 2025.
## Identity
- **NPI:** 1770477093 (Entity type: Organization)
- **Enumerated:** June 3, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Abdalla Elkhalifa, CEO / ADMINISTRATOR
## Practice location
- **Address:** 3523 E EVERETT DR, Phoenix, AZ 85032-5136
- **Phone:** (623) 565-3922
## Record status
- **NPPES last updated:** June 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770477093) · Data from the CMS NPPES public registry.