OrganizationActive
247 Recovery Group Home LLC
NPI 1518826734 · Mental Illness Community Based Residential Treatment Facility · Laveen, AZ
Provider details
- NPI number
- 1518826734
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Acleo Katusabe, Ceo(336) 405-7510
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4822 W Gwen St
Laveen, AZ 85339-4200
Phone: (336) 405-7510
Street-level locationGet directions
Mailing address
4822 W Gwen St
Laveen, AZ 85339-4200
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-01-22
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.