OrganizationActive
Elaines Residential LLC
NPI 1801404298 · Assisted Living Facility (Behavioral Disturbances) · Casa Grande, AZ
Provider details
- NPI number
- 1801404298
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Ojo, Administrator(928) 247-2804
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Nursing Home Administrator376G00000X
Nursing Service Related Providers
Practice location
1773 E Cardinal Dr
Casa Grande, AZ 85122-6317
Phone: (716) 370-5678
Approximate (ZIP-level) locationGet directions
Mailing address
1773 E Cardinal Dr
Casa Grande, AZ 85122-6317
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.