Mary Group Home LLC
NPI 1770477093 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Mary Group Home LLC is a Mental Illness Community Based Residential Treatment Facility organization in Phoenix, AZ (NPI 1770477093).
Provider details
- NPI number
- 1770477093
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Abdalla Elkhalifa, Ceo / Administrator(623) 565-3922
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-06-03
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Frequently asked questions
- What is Mary Group Home LLC's NPI number?
- Mary Group Home LLC's National Provider Identifier (NPI) is 1770477093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Group Home LLC?
- Mary Group Home LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mary Group Home LLC located?
- Mary Group Home LLC's practice location on file with NPPES is 3523 E Everett Dr, Phoenix, AZ 85032-5136.
- What is Mary Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Group Home LLC is (623) 565-3922.
- Who is the authorized official for Mary Group Home LLC?
- The authorized official listed on Mary Group Home LLC's NPPES record is Abdalla Elkhalifa, Ceo / Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Group Home LLC's NPI active?
- Yes — Mary Group Home LLC's NPI (1770477093) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.