Organization
VIOLET RESIDENTIAL SERVICE AGENCY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLET BI NJOMGERT (OWNER)
(928) 515-0730
Entity
Organization
Contact information
Practice address
3800 N EL MIRAGE DR APT 6317, AVONDALE, AZ 85392-4083
(681) 799-6067
Mailing address
9106 SANDRA CT, RANDALLSTOWN, MD 21133-3317
(681) 799-6067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/31/2025
Last updated
09/23/2025
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