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

El Mirage Group Home

Organization Assisted Living Facility · NPI 1801099692

El Mirage Group Home is an Assisted Living 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

13045 W Port Royale Ln
El Mirage, AZ 85335-3428
Phone: (602) 367-6491
Fax: (623) 582-8178
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence ALH-5221 (AZ)

Record details

NPI number1801099692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniela Micula — Manager · (602) 367-6491
NPI enumeratedJune 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address13045 W Port Royale Ln, El Mirage, AZ 85335-3428

Other providers in El Mirage