License.2024-2025.Elite-Amendment-12.11.24_Redacted.pdf

PDF 124 KB Posted

Attached to
Master Agreement AZ|CTR071422
Contract number
CTR071422
Issued by
Arizona

About this file

This document is a Child Welfare Residential Group Care License issued by the Arizona Department of Child Safety's Office of Licensing and Regulation for Elite Power Group Homes, LLC. The license is for a facility named Zeke's Place, located in Pinal County, Arizona, and represents an amendment to an existing license.

The license authorizes operation of a residential group care facility with a capacity of nineteen (19) children, specifically targeting males aged thirteen to seventeen (13-17) years. The license is effective until September 5, 2025, and includes an administrative amendment effective December 11, 2024, which establishes a new facility location with a capacity of ten (10) children aged fifteen to seventeen (15-17) years, still maintaining the male gender specification. The facility's Provider ID Number is 884318741, and it is authorized to provide residential group care services under the regulation of the Arizona Department of Child Safety.

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