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PRESTIGE RESIDENTIAL HOME LLC
NPI 1154061398
Community Based Residential Treatment Facility, Mental Illness in Queen Creek, AZ

Active since March 29, 2022
22367 E DESERT SPOON DR, QUEEN CREEK, AZ 85142(480) 307-9984 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prestige Residential Home Llc NPPES

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

PRESTIGE RESIDENTIAL HOME LLC (NPI 1154061398) is a healthcare organization registered as a community based residential treatment facility, mental illness in Queen Creek, Arizona and active in the NPI registry since March 2022. The organization lists Alexander B Asiedu, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154061398
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePRESTIGE RESIDENTIAL HOME LLC
Location Address22367 E DESERT SPOON DRQueen Creek, AZ 85142-1235
Mailing Address22367 E Desert Spoon DrQueen Creek, AZ 85142-1235 · (480) 307-9984
Phone(480) 307-9984
Organization SubpartNo
Authorized OfficialAlexander B AsieduAdministrator · (914) 417-0214
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1154061398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
22367 E DESERT SPOON DR, Queen Creek, AZ 85142
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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 Prestige Residential Home LLC's NPI number?

The NPI number for Prestige Residential Home LLC is 1154061398. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Prestige Residential Home LLC located?

Prestige Residential Home LLC is located at 22367 E Desert Spoon Dr, Queen Creek, AZ 85142. The listed phone number is (480) 307-9984.

What is Prestige Residential Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Prestige Residential Home LLC was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.