Healthcare Provider Details

I. General information

NPI: 1063367852
Provider Name (Legal Business Name): GOOD HANDS ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 W J WALTZ WAY
APACHE JUNCTION AZ
85120-0226
US

IV. Provider business mailing address

1629 E DONNER DR
TEMPE AZ
85282-7220
US

V. Phone/Fax

Practice location:
  • Phone: 602-334-8402
  • Fax: 602-334-8402
Mailing address:
  • Phone: 602-334-8402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KASHIF NAZIR
Title or Position: OWNER
Credential: NAZIR
Phone: 602-334-8402