OrganizationActive
Angie'S LLC
NPI 1043816572 · Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ
Provider details
- NPI number
- 1043816572
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mireille Mukiza, Cao(623) 792-0191
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16796 W Pierce St
Goodyear, AZ 85338-6167
Phone: (623) 215-2767
Fax: (623) 215-2927
Street-level locationGet directions
Mailing address
16796 W Pierce St
Goodyear, AZ 85338-6167
Other names (DBA / former)
- Doing business as
- Goodyear Home
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-09
- Certified
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.