MARTHA'S RESIDENTIAL CARE LLC
NPI 1275353740
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since October 10, 2024
4612 N 94TH DR, PHOENIX, AZ 85037(480) 217-6996 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha's Residential Care Llc NPPES

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

MARTHA'S RESIDENTIAL CARE LLC (NPI 1275353740) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since October 2024. The organization lists Saffiatu S Tunis, Program Director, as its authorized official.

NPPES Registry Identity

NPI1275353740
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARTHA'S RESIDENTIAL CARE LLC
Location Address4612 N 94TH DRPhoenix, AZ 85037-1330
Mailing Address22958 W Pima StBuckeye, AZ 85326-8734 · (480) 217-6996 · Fax (480) 452-0243
Organization SubpartNo
Authorized OfficialSaffiatu S TunisProgram Director · (480) 217-6996
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1275353740 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.
4612 N 94TH DR, Phoenix, AZ 85037

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
4612 N 94TH DR
PHOENIX, AZ 85037

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 Martha's Residential Care LLC's NPI number?

The NPI number for Martha's Residential Care LLC is 1275353740. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Martha's Residential Care LLC located?

Martha's Residential Care LLC is located at 4612 N 94th Dr, Phoenix, AZ 85037. The listed phone number is (480) 217-6996.

What is Martha's 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 Martha's Residential Care LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.