AZ COMFORT HOME LLC – NPI #1548785884
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

AZ COMFORT HOME LLC is a residential treatment facility located in BUCKEYE, AZ. NPPES has assigned the NPI number 1548785884 to AZ COMFORT HOME LLC on August 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 AZ COMFORT HOME LLC below.

NPI Profile for
AZ COMFORT HOME LLC

NPI Number
1548785884
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AZ COMFORT HOME LLC
Primary location
23832 W TONTO STREET
BUCKEYE, AZ 85326
Phone: (623) 666-3895 Fax: (623) 321-1206
Mailing address
23832 W TONTO ST
BUCKEYE, AZ 85326-8139
Phone: (623) 666-3895 Fax: (623) 321-1206
Organization Subpart
No
Authorized Official
JOHN OMIJIE
PROGRAM DIRECTOR
Phone: (623) 326-3327
Updated
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
AZ BH5219

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.