Jussamal Manor 11
NPI 1770931966 · Mental Illness Community Based Residential Treatment Facility · Chandler, AZ
Jussamal Manor 11 is a Mental Illness Community Based Residential Treatment Facility organization in Chandler, AZ (NPI 1770931966).
Provider details
- NPI number
- 1770931966
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Jussamal Manor
- Organization subpart
- Yes
- Authorized official
- Samuel Marira, Ceo./Program Director(480) 570-6245
- License
- BH4726 (AZ)
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
10 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
- 2016-05-27
- Last updated
- 2016-05-27
Frequently asked questions
- What is Jussamal Manor 11's NPI number?
- Jussamal Manor 11's National Provider Identifier (NPI) is 1770931966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jussamal Manor 11?
- Jussamal Manor 11 is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jussamal Manor 11 located?
- Jussamal Manor 11's practice location on file with NPPES is 641 S. Karen Dr., Chandler, AZ 85224.
- What is Jussamal Manor 11's phone number?
- The practice phone number listed in the NPPES registry for Jussamal Manor 11 is (480) 621-8640.
- Who is the authorized official for Jussamal Manor 11?
- The authorized official listed on Jussamal Manor 11's NPPES record is Samuel Marira, Ceo./Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jussamal Manor 11's NPI active?
- Yes — Jussamal Manor 11's NPI (1770931966) is active in the NPPES registry as of the last update on 2016-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.