Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Residential Care LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1245602044

Charles Residential Care LLC is a Mental Illness Community Based Residential Treatment Facility in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15813 W Monroe St
Goodyear, AZ 85338-6896
Phone: (623) 882-1294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence BH4681 (AZ)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence BH4681 (AZ)

Record details

NPI number1245602044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugenia Asota — Director · (309) 269-0798
NPI enumeratedOctober 20, 2015
Last updated in NPPESOctober 20, 2015
Mailing address15561 W Devonshire Ave, Goodyear, AZ 85395-7772

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