MOSES BEHAVIORAL CARE
NPI 1255725248
Community Based Residential Treatment Facility, Mental Illness in Surprise, AZ
About Moses Behavioral Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOSES BEHAVIORAL CARE (NPI 1255725248) is a healthcare organization registered as a community based residential treatment facility, mental illness in Surprise, Arizona and active in the NPI registry since March 2015. The organization lists Elizabeth Agboola, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Moses Behavioral Care's NPI number?
The NPI number for Moses Behavioral Care is 1255725248. It was assigned to this organization in the NPPES registry on March 27, 2015.
Where is Moses Behavioral Care located?
Moses Behavioral Care is located at 17622 W Port Royale Ln, Surprise, AZ 85379. The listed phone number is (480) 286-3366.
What is Moses Behavioral Care'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 Moses Behavioral Care was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Moses Behavioral Care · NPI 1255725248
Community Based Residential Treatment Facility, Mental Illness organization in Surprise, Arizona. Organization record, active in the CMS NPPES registry since March 27, 2015.
## Identity
- **NPI:** 1255725248 (Entity type: Organization)
- **Enumerated:** March 27, 2015
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** Yes (part of Moses Assisted Living)
- **Authorized official:** Elizabeth Agboola, ADMINISTRATOR
## Practice location
- **Address:** 17622 W PORT ROYALE LN, Surprise, AZ 85379
- **Phone:** (480) 286-3366
## Record status
- **NPPES last updated:** July 10, 2023
- **Other identifiers:** Medicaid 986532 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1255725248) · Data from the CMS NPPES public registry.