Goodyear Assisted Living Home, LLC
NPI 1730894569ActiveOrganization· Assisted Living Facility· Goodyear, AZ
Assisted Living Facility in Goodyear, Arizona, registered in NPPES in January 2023. The authorized official on file is Jacob Awandem, Owner.
Overview
| NPI | 1730894569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2023 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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