BACK TO LIFE, INCORPORATED
NPI 1093223125
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Q: What is Back To Life, Incorporated's NPI number?

The NPI number for Back To Life, Incorporated is 1093223125. It was assigned to this organization in the NPPES registry on January 10, 2018.

Q: 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.

Active since January 10, 2018

3301 N 63RD AVE, PHOENIX, AZ 85033(623) 249-4448(623) 444-7829 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2019, Jan 10, 2018 (2 updates tracked since 2018).

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About Back To Life, Incorporated NPPES

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

BACK TO LIFE, INCORPORATED (NPI 1093223125) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since January 2018. The organization lists Gracie Gonzalez Padilla, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093223125

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameBACK TO LIFE, INCORPORATED

Location Address3301 N 63RD AVEPhoenix, AZ 85033-5203

Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (623) 518-9552 · Fax (623) 444-7829

Phone(623) 249-4448

Fax(623) 444-7829

Organization SubpartNo

Authorized OfficialGracie Gonzalez PadillaChief Executive Officer · (602) 999-2400

Enumeration DateJanuary 10, 2018

Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration

✔ NPI 1093223125 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

License✔ Licensed in AZ · BH-5346

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.

3301 N 63RD AVE, Phoenix, AZ 85033

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BACK TO LIFE INCORPORATED

Residential Treatment Facility, Emotionally Disturbed Children

3301 N 63RD AVE
PHOENIX, AZ 85033

Maricopa County (623) 594-4870

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 1093223125. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Back To Life, Incorporated located?

Back To Life, Incorporated is located at 3301 N 63rd Ave, Phoenix, AZ 85033. The listed phone number is (623) 249-4448.

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 18, 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.