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MOSES BEHAVIORAL CARE
NPI 1447658943
Residential Treatment Facility, Physical Disabilities in Surprise, AZ

Active since December 15, 2014
17622 W PORT ROYALE LN, SURPRISE, AZ 85388(480) 286-3366 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Moses Behavioral Care NPPES

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

MOSES BEHAVIORAL CARE (NPI 1447658943) is a healthcare organization registered as a residential treatment facility, physical disabilities in Surprise, Arizona and active in the NPI registry since December 2014. The organization lists Steve Agboola, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447658943
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameMOSES BEHAVIORAL CARE
Location Address17622 W PORT ROYALE LNSurprise, AZ 85388-7792
Mailing Address17622 W Port Royale LnSurprise, AZ 85388-7792
Phone(480) 286-3366
Organization SubpartNo
Authorized OfficialSteve AgboolaAdministrator · (480) 589-6692
Enumeration DateDecember 15, 2014
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1447658943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in AZ · BH4520
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
17622 W PORT ROYALE LN, Surprise, AZ 85388
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Other Identifiers 1

Medicaid918102AZ

Other Providers at the Same Location NPPES

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

TRINITY RECOVERY HOME LLC
Community Based Residential Treatment Facility, Mental Illness
17622 W PORT ROYALE LN
SURPRISE, AZ 85388
Maricopa County (602) 837-6800

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 1447658943. It was assigned to this organization in the NPPES registry on December 15, 2014.

Where is Moses Behavioral Care located?

Moses Behavioral Care is located at 17622 W Port Royale Ln, Surprise, AZ 85388. The listed phone number is (480) 286-3366.

What is Moses Behavioral Care's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Moses Behavioral Care was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.