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CHARLES RESIDENTIAL CARE LLC
NPI 1245602044
Community Based Residential Treatment Facility, Mental Illness in Goodyear, AZ

Active since October 20, 2015
15813 W MONROE ST, GOODYEAR, AZ 85338(623) 882-1294 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Residential Care Llc NPPES

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

CHARLES RESIDENTIAL CARE LLC (NPI 1245602044) is a healthcare organization registered as a community based residential treatment facility, mental illness in Goodyear, Arizona and active in the NPI registry since October 2015. The organization lists Eugenia Asota, Director, as its authorized official.

NPPES Registry Identity

NPI1245602044
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCHARLES RESIDENTIAL CARE LLC
Location Address15813 W MONROE STGoodyear, AZ 85338-6896
Mailing Address15561 W Devonshire AveGoodyear, AZ 85395-7772 · (623) 882-1294
Phone(623) 882-1294
Organization SubpartNo
Authorized OfficialEugenia AsotaDirector · (309) 269-0798
Enumeration DateOctober 20, 2015
✔ NPI 1245602044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH4681
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License BH4681 (AZ)
15813 W MONROE ST, Goodyear, AZ 85338
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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 Charles Residential Care LLC's NPI number?

The NPI number for Charles Residential Care LLC is 1245602044. It was assigned to this organization in the NPPES registry on October 20, 2015.

Where is Charles Residential Care LLC located?

Charles Residential Care LLC is located at 15813 W Monroe St, Goodyear, AZ 85338. The listed phone number is (623) 882-1294.

What is Charles Residential Care 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 Charles Residential Care LLC was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.