ANGIE'S LLC – NPI #1043816572
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

ANGIE'S LLC is a community based residential treatment facility located in GOODYEAR, AZ. NPPES has assigned the NPI number 1043816572 to ANGIE'S LLC on December 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 ANGIE'S LLC below.

NPI Profile for
ANGIE'S LLC

NPI Number
1043816572
Enumeration Date

(more than 5 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
ANGIE'S LLC
Primary location
16796 W PIERCE ST
GOODYEAR, AZ 85338-6167
Phone: (623) 215-2767 Fax: (623) 215-2927
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIREILLE MUKIZA
CAO
Phone: (623) 792-0191
Updated
Certification Date
Dec 09, 2020

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

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.