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EXCLUSIVE CERTIFIED RESIDENTIAL CARE, LLC
NPI 1629528716
Community Based Residential Treatment Facility, Mental Illness in Kingman, AZ

Active since October 12, 2016
3744 MARTINGALE DR, KINGMAN, AZ 86409(928) 255-1747(928) 255-1741 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Exclusive Certified Residential Care, Llc NPPES

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

EXCLUSIVE CERTIFIED RESIDENTIAL CARE, LLC (NPI 1629528716) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kingman, Arizona and active in the NPI registry since October 2016. The organization lists Maya Royce, Owner, as its authorized official.

NPPES Registry Identity

NPI1629528716
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEXCLUSIVE CERTIFIED RESIDENTIAL CARE, LLC
Location Address3744 MARTINGALE DRKingman, AZ 86409-2994
Mailing Address33105 N 23rd AvePhoenix, AZ 85085-5088 · (623) 285-9595 · Fax (928) 255-1741
Phone(928) 255-1747
Fax(928) 255-1741
Organization SubpartNo
Authorized OfficialMaya RoyceOwner · (623) 285-9595
Enumeration DateOctober 12, 2016
✔ NPI 1629528716 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
License✔ Licensed in AZ · BH4985
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3744 MARTINGALE DR, Kingman, AZ 86409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES

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

MAYA ROYCE
Behavior Technician
3744 MARTINGALE DR
KINGMAN, AZ 86409
Mohave County (928) 255-1747

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 Exclusive Certified Residential Care, LLC's NPI number?

The NPI number for Exclusive Certified Residential Care, LLC is 1629528716. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Exclusive Certified Residential Care, LLC located?

Exclusive Certified Residential Care, LLC is located at 3744 Martingale Dr, Kingman, AZ 86409. The listed phone number is (928) 255-1747.

What is Exclusive Certified Residential Care, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does Exclusive Certified Residential Care, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Exclusive Certified Residential Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Exclusive Certified Residential Care, LLC was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.