OrganizationActive
Arizona Homes of Miracles LLC
NPI 1710553086 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1710553086
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Arizona Homes of Miracles, LLC
- Organization subpart
- Yes
- Authorized official
- Abdisaak Mohamud, Owner(612) 306-0639
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(62/100 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
2534 W Saint Catherine Ave
Phoenix, AZ 85041-5354
Phone: (602) 358-8165
Street-level locationGet directions
Mailing address
3205 S 63rd Ln
Phoenix, AZ 85043-1958
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.