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

Prime Care Residential and Behavioral Services

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1801744065

Prime Care Residential and Behavioral Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

6565 N 17th Ave Apt 11
Phoenix, AZ 85015-1330
Phone: (801) 815-3521
Show map & directions

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 number1801744065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matilda Masumba — Authorized Official · (801) 815-3521
NPI enumeratedMarch 21, 2026
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address6565 N 17th Ave Apt 11, Phoenix, AZ 85015-1330

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