Healthcare Provider Details

I. General information

NPI: 1386555654
Provider Name (Legal Business Name): MLE COMPASSIONATE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5135 W LYDIA LN
LAVEEN AZ
85339-2479
US

IV. Provider business mailing address

5135 W LYDIA LN
LAVEEN AZ
85339-2479
US

V. Phone/Fax

Practice location:
  • Phone: 623-755-4410
  • Fax:
Mailing address:
  • Phone: 623-755-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: MACBETH ONOJA
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 623-755-4410