NPI
Big John Group Home
Phone (480) 202-2972 · Fax (623) 546-0161 · NPI 1497808851
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-01-19
- Last updated
- 2020-08-22
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Specialties
Licenses
- License AZ
- 864828
Location
- Practice location
- 12406 W Surrey Ave
- City
- El Mirage AZ
- Postal code
- 85335-7245
- Phone
- (480) 202-2972
- Fax
- (623) 546-0161
Organization contact
- Name
- Stephanie Edwards
- Title
- Director of Operations
- Phone
- (480) 202-2972
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Residential Treatment Facility, Emotionally Disturbed Children providers in El Mirage, AZ. 5 with this primary taxonomy in the public file.
Other NPIs in El Mirage, AZ. 180 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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