OrganizationActive
Comprehensive Group Home LLC
NPI 1518650704 · Assisted Living Facility (Behavioral Disturbances) · Laveen, AZ
Provider details
- NPI number
- 1518650704
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tesfahun Oute, Owner/Member(602) 585-7081
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4628 W Magdalena Ln
Laveen, AZ 85339-2353
Phone: (602) 585-7091
Approximate (ZIP-level) locationGet directions
Mailing address
4628 W Magdalena Ln
Laveen, AZ 85339-2353
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.