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

New Roots Residency LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1861024069

New Roots Residency LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
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

3139 W Carson Rd
Phoenix, AZ 85041-6342
Phone: (480) 285-5483
Fax: (602) 675-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1861024069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Muthoni — Owneradministrator · (480) 285-5483
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address3139 W Carson Rd, Phoenix, AZ 85041-6342

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