El Mirage Group Home LLC
NPI 1174247332 · Assisted Living Facility · El Mirage, AZ
El Mirage Group Home LLC is a Assisted Living Facility organization in El Mirage, AZ (NPI 1174247332).
Provider details
- NPI number
- 1174247332
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cornelia Edoh, Member/Manager(623) 694-5101
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is El Mirage Group Home LLC's NPI number?
- El Mirage Group Home LLC's National Provider Identifier (NPI) is 1174247332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is El Mirage Group Home LLC?
- El Mirage Group Home LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is El Mirage Group Home LLC located?
- El Mirage Group Home LLC's practice location on file with NPPES is 13045 W Port Royale Ln, El Mirage, AZ 85335-3428.
- What is El Mirage Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for El Mirage Group Home LLC is (623) 694-5101.
- Who is the authorized official for El Mirage Group Home LLC?
- The authorized official listed on El Mirage Group Home LLC's NPPES record is Cornelia Edoh, Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is El Mirage Group Home LLC's NPI active?
- Yes — El Mirage Group Home LLC's NPI (1174247332) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.