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

Bougainvillea Manor LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1477396661

Bougainvillea Manor LLC is a Mental Illness Community Based Residential Treatment Facility in Laveen, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6646 S 57th Ave
Laveen, AZ 85339-2254
Phone: (480) 239-9648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1477396661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krishna Ashili — Administrator · (480) 239-9648
NPI enumeratedJune 14, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address2083 Cowan Dr, New Braunfels, TX 78132-1695

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