Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Big John Group Home

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1255484366

Big John Group Home is an Emotionally Disturbed Childrens' Residential Treatment Facility in El Mirage, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

12514 N 126th Ln
El Mirage, AZ 85335-5206
Phone: (480) 202-2972
Fax: (623) 546-0161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 723636 (AZ)

Record details

NPI number1255484366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Edwards — Director Of Operations · (480) 202-2972
NPI enumeratedJanuary 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address70 S Val Vista Dr Ste A3 # 44, Gilbert, AZ 85296-1375

Other providers in El Mirage