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

Prestige Residential Home LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1154061398

Prestige Residential Home LLC is a Mental Illness Community Based Residential Treatment Facility in Queen Creek, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

22367 E Desert Spoon Dr
Queen Creek, AZ 85142-1235
Phone: (480) 307-9984
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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

Record details

NPI number1154061398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Asiedu — Administrator · (914) 417-0214
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 28, 2022
Mailing address22367 E Desert Spoon Dr, Queen Creek, AZ 85142-1235

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