PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
NPI 1801744065
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since March 21, 2026
6565 N 17TH AVE APT 11, PHOENIX, AZ 85015(801) 815-3521 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1801744065) is a healthcare organization registered as a community based 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, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1801744065
Entity TypeOrganization
Primary Taxonomy320900000X
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
Organization SubpartNo
Authorized OfficialMatilda Namuchana MasumbaAuthorized Official · (801) 815-3521
Enumeration DateMarch 21, 2026
NPPES CertifiedMarch 21, 2026
NPI 1801744065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6565 N 17TH AVE APT 11, Phoenix, AZ 85015

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6565 N 17TH AVE APT 11
PHOENIX, AZ 85015

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 1801744065. It was assigned to this organization in the NPPES registry on March 21, 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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Prime Care Residential And Behavioral Services was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.