1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Residential Treatment Facility Emotionally Disturbed Children
  6. NPI Profile

BACK TO LIFE, INCORPORATED
NPI 1497937767
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Active since November 28, 2007
5915 W ROANOKE AVE, PHOENIX, AZ 85035(623) 594-4870(623) 444-9213 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Back To Life, Incorporated NPPES

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

BACK TO LIFE, INCORPORATED (NPI 1497937767) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since November 2007. The organization lists Gracie Padilla Contreras, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1497937767
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBACK TO LIFE, INCORPORATED
Location Address5915 W ROANOKE AVEPhoenix, AZ 85035-1639
Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (623) 594-4870 · Fax (623) 444-9213
Phone(623) 594-4870
Fax(623) 444-9213
Organization SubpartNo
Authorized OfficialGracie Padilla ContrerasChief Executive Officer · (623) 594-4870
Enumeration DateNovember 28, 2007
Last NPPES UpdateNovember 29, 2007
✔ NPI 1497937767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in AZ · BH2772
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
5915 W ROANOKE AVE, Phoenix, AZ 85035
Open in Google Maps ↗

Other Identifiers 1

Medicaid143580AZ

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 Back To Life, Incorporated's NPI number?

The NPI number for Back To Life, Incorporated is 1497937767. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Back To Life, Incorporated located?

Back To Life, Incorporated is located at 5915 W Roanoke Ave, Phoenix, AZ 85035. The listed phone number is (623) 594-4870.

What is Back To Life, Incorporated's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Back To Life, Incorporated was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.