GRACELAND BEHAVIORAL HOME LLC
NPI 1811617889
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Maricopa, AZ

Q: What is Graceland Behavioral Home LLC's NPI number?

The NPI number for Graceland Behavioral Home LLC is 1811617889. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Graceland Behavioral Home.

Q: What is Graceland Behavioral Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since August 30, 2022

35696 W SANTA MONICA AVE, MARICOPA, AZ 85138(602) 752-7158 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Graceland Behavioral Home Llc NPPES

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

GRACELAND BEHAVIORAL HOME LLC (NPI 1811617889), doing business as Graceland Behavioral Home, is a healthcare organization registered as an assisted living, behavioral disturbances in Maricopa, Arizona and active in the NPI registry since August 2022. The organization lists Kofi Owusu Kusi, Owner, as its authorized official.

NPPES Registry Identity

NPI1811617889

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameGRACELAND BEHAVIORAL HOME LLC

Location Address35696 W SANTA MONICA AVEMaricopa, AZ 85138-2620

Mailing Address35696 W Santa Monica AveMaricopa, AZ 85138-2620 · (602) 752-7158

Phone(602) 752-7158

Organization SubpartNo

Authorized OfficialKofi Owusu KusiOwner · (602) 752-7158

Enumeration DateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1811617889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

35696 W SANTA MONICA AVE, Maricopa, AZ 85138

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Other Names 1

Doing Business AsGraceland Behavioral Home

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 Graceland Behavioral Home LLC's NPI number?

The NPI number for Graceland Behavioral Home LLC is 1811617889. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Graceland Behavioral Home.

Where is Graceland Behavioral Home LLC located?

Graceland Behavioral Home LLC is located at 35696 W Santa Monica Ave, Maricopa, AZ 85138. The listed phone number is (602) 752-7158.

What is Graceland Behavioral Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Graceland Behavioral Home LLC was last updated on August 30, 2022. 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.