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M & M Residential Home LLC

Mental Illness Community Based Residential Treatment Facility in Peoria, AZ · enumerated 2018 · authorized official Mavis Panford, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336646678

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Registry record

Entity type Organization (Type 2)
Legal business name M & M Residential Home LLC
Practice address 8572 W Palo Verde Ave, Peoria, AZ, 85345
Phone (623) 249-3105
Fax (623) 249-3105
Enumeration date Apr 12, 2018
Last updated in NPPES Apr 12, 2018

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License BH5412 (AZ) Primary

Authorized official

Name Mavis Panford
Title Program Director
Phone (573) 855-1210

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for M & M Residential Home LLC?
The NPI for M & M Residential Home LLC is 1336646678, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for M & M Residential Home LLC?
NPPES lists Mavis Panford (Program Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-12.