COUNTRY CARE RESIDENTIAL SERVICES LLC
NPI 1285320812
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tolleson, AZ

Active since April 17, 2023
3241 S 93RD DR, TOLLESON, AZ 85353(623) 600-8863 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Care Residential Services Llc NPPES

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

COUNTRY CARE RESIDENTIAL SERVICES LLC (NPI 1285320812) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Tolleson, Arizona and active in the NPI registry since April 2023. The organization lists Judith Oyuo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285320812
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOUNTRY CARE RESIDENTIAL SERVICES LLC
Location Address3241 S 93RD DRTolleson, AZ 85353-5536
Mailing Address3241 S 93rd DrTolleson, AZ 85353-5536 · (623) 600-8863
Organization SubpartNo
Authorized OfficialJudith OyuoAdministrator · (623) 600-8863
Enumeration DateApril 17, 2023
NPPES CertifiedApril 16, 2023
NPI 1285320812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
3241 S 93RD DR, Tolleson, AZ 85353

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 Country Care Residential Services LLC's NPI number?

The NPI number for Country Care Residential Services LLC is 1285320812. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Country Care Residential Services LLC located?

Country Care Residential Services LLC is located at 3241 S 93rd Dr, Tolleson, AZ 85353. The listed phone number is (623) 600-8863.

What is Country Care Residential Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Country Care Residential Services LLC was last updated on April 17, 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.