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PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
NPI 1780523175
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since March 28, 2026
6565 N 17TH AVE APT 11, PHOENIX, AZ 85015(801) 815-3521 Get Directions Write a Review

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

Record update history: Apr 29, 2026, Mar 28, 2026 (2 updates tracked since 2026).

About Prime Care Residential And Behavioral Services NPPES

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

PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES (NPI 1780523175) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since March 2026. The organization lists Matilda Namuchana Masumba, Director, as its authorized official.

NPPES Registry Identity

NPI1780523175
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
Location Address6565 N 17TH AVE APT 11Phoenix, AZ 85015-1330
Mailing Address6565 N 17th Ave Apt 11Phoenix, AZ 85015-1330 · (801) 815-3521
Phone(801) 815-3521
Organization SubpartNo
Authorized OfficialMatilda Namuchana MasumbaDirector · (801) 815-3521
Enumeration DateMarch 28, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1780523175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedRespite CareTaxonomy 385H00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X
6565 N 17TH AVE APT 11, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES

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

PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6565 N 17TH AVE APT 11
PHOENIX, AZ 85015
Maricopa County (801) 815-3521

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 Prime Care Residential And Behavioral Services's NPI number?

The NPI number for Prime Care Residential And Behavioral Services is 1780523175. It was assigned to this organization in the NPPES registry on March 28, 2026.

Where is Prime Care Residential And Behavioral Services located?

Prime Care Residential And Behavioral Services is located at 6565 N 17th Ave Apt 11, Phoenix, AZ 85015. The listed phone number is (801) 815-3521.

What is Prime Care Residential And Behavioral Services'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 Prime Care Residential And Behavioral Services was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.