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

Prime Care Residential and Behavioral Services

Organization Developmentally Disabled Services Day Training Agency · NPI 1780523175

Prime Care Residential and Behavioral Services is a Developmentally Disabled Services Day Training Agency in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
9
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Practice location Address checks out

6565 N 17th Ave Apt 11
Phoenix, AZ 85015-1330
Phone: (801) 815-3521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Foster Care Agency Taxonomy 253J00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Respite Care Taxonomy 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Child Physical Disabilities Respite Care Taxonomy 385HR2065X

Record details

NPI number1780523175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matilda Masumba — Director · (801) 815-3521
NPI enumeratedMarch 28, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address6565 N 17th Ave Apt 11, Phoenix, AZ 85015-1330

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