GWEN E. MADDIX – NPI #1073680195
Respite Care

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

GWEN MADDIX is a respite care facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1073680195 to GWEN MADDIX on November 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385HR2055X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Mental Illness, Child

The NPI profile was last updated on Nov 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GWEN MADDIX below.

NPI Profile for
GWEN E. MADDIX

NPI Number
1073680195
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GWEN E. MADDIX
Primary location
3436 W MALAPAI
PHOENIX, AZ 85051
Phone: (602) 570-5742 Fax:
Mailing address
4232 W WALTANN LN
PHOENIX, AZ 85053-3772
Phone: (602) 570-5742 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385HR2055X
- Respite Care / Respite Care, Mental Illness, Child (Primary)
253J00000X
- Foster Care Agency

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.