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Jussamal Manor 11

Mental Illness Community Based Residential Treatment Facility in Chandler, AZ · enumerated 2016 · authorized official Samuel Marira, Ceo./Program Director.

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

National Provider Identifier

1770931966

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Registry record

Entity type Organization (Type 2)
Legal business name Jussamal Manor 11
Parent organization Jussamal Manor
Practice address 641 S. Karen Dr., Chandler, AZ, 85224
Phone (480) 621-8640
Fax (480) 257-3447
Enumeration date May 27, 2016
Last updated in NPPES May 27, 2016

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License BH4726 (AZ) Primary

Authorized official

Name Samuel Marira
Title Ceo./Program Director
Phone (480) 570-6245

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 Jussamal Manor 11?
The NPI for Jussamal Manor 11 is 1770931966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jussamal Manor 11?
NPPES lists Samuel Marira (Ceo./Program Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-27.