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

El Mirage Group Home LLC

Organization Assisted Living Facility · NPI 1174247332

El Mirage Group Home LLC is an Assisted Living Facility in El Mirage, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

13045 W Port Royale Ln
El Mirage, AZ 85335-3428
Phone: (623) 694-5101
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1174247332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cornelia Edoh — Member/Manager · (623) 694-5101
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing address13045 W Port Royale Ln, El Mirage, AZ 85335-3428

Other providers in El Mirage