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PENALI MANOR LLC
NPI 1992295984
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laveen, AZ

Active since May 15, 2018
8023 S 51ST DR, LAVEEN, AZ 85339(480) 207-1272 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penali Manor Llc NPPES

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

PENALI MANOR LLC (NPI 1992295984) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Laveen, Arizona and active in the NPI registry since May 2018. The organization lists Peggy Nyalita, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992295984
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePENALI MANOR LLC
Location Address8023 S 51ST DRLaveen, AZ 85339-2840
Mailing Address8023 S 51st DrLaveen, AZ 85339-2840 · (302) 898-6406
Phone(480) 207-1272
Organization SubpartNo
Authorized OfficialPeggy NyalitaAdministrator · (302) 530-9489
Enumeration DateMay 15, 2018
✔ NPI 1992295984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in AZ · BH5417
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

8023 S 51ST DR, Laveen, AZ 85339
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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 Penali Manor LLC's NPI number?

The NPI number for Penali Manor LLC is 1992295984. It was assigned to this organization in the NPPES registry on May 15, 2018.

Where is Penali Manor LLC located?

Penali Manor LLC is located at 8023 S 51st Dr, Laveen, AZ 85339. The listed phone number is (480) 207-1272.

What is Penali Manor LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Penali Manor LLC was last updated on May 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.