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BACK TO LIFE INCORPORATED
NPI 1013558311
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Active since October 08, 2019
6420 W COCOPAH ST, PHOENIX, AZ 85043(602) 999-2400(623) 444-7829 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Back To Life Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO LIFE INCORPORATED (NPI 1013558311) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since October 2019. The organization lists Gracie Gonzalez Padilla, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013558311
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBACK TO LIFE INCORPORATED
Location Address6420 W COCOPAH STPhoenix, AZ 85043
Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (602) 999-2400 · Fax (623) 444-7829
Phone(602) 999-2400
Fax(623) 444-7829
Organization SubpartNo
Authorized OfficialGracie Gonzalez PadillaChief Executive Officer · (623) 518-9552
Enumeration DateOctober 8, 2019
✔ NPI 1013558311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
6420 W COCOPAH ST, Phoenix, AZ 85043
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Back To Life Incorporated's NPI number?

The NPI number for Back To Life Incorporated is 1013558311. It was assigned to this organization in the NPPES registry on October 8, 2019.

Where is Back To Life Incorporated located?

Back To Life Incorporated is located at 6420 W Cocopah St, Phoenix, AZ 85043. The listed phone number is (602) 999-2400.

What is Back To Life Incorporated's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Back To Life Incorporated was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.