MARTHA'S RESIDENTIAL CARE LLC
NPI 1962818187
Community Based Residential Treatment Facility, Mental Illness in Peoria, AZ

Active since July 08, 2014
8572 W PALO VERDE AVE, PEORIA, AZ 85345(480) 217-6996(480) 452-0243 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha's Residential Care Llc NPPES

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

MARTHA'S RESIDENTIAL CARE LLC (NPI 1962818187) is a healthcare organization registered as a community based residential treatment facility, mental illness in Peoria, Arizona and active in the NPI registry since July 2014. The organization lists Saffiatu S Tunis, Program Director, as its authorized official.

NPPES Registry Identity

NPI1962818187
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARTHA'S RESIDENTIAL CARE LLC
Location Address8572 W PALO VERDE AVEPeoria, AZ 85345-5354
Mailing Address22958 W Pima StBuckeye, AZ 85326-8734 · (623) 271-8248 · Fax (480) 452-0243
Fax(480) 452-0243
Organization SubpartNo
Authorized OfficialSaffiatu S TunisProgram Director · (480) 217-6996
Enumeration DateJuly 8, 2014
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
NPI 1962818187 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
Licenses Licensed in AZ · BH4469 Licensed in AZ · BH4907
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
8572 W PALO VERDE AVE, Peoria, AZ 85345

Other Identifiers 1

OtherBH6971AZ · License

Other Providers at the Same Location NPPES 3

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

Residential Treatment Facility, Emotionally Disturbed Children
8572 W PALO VERDE AVE
PEORIA, AZ 85345
Community Based Residential Treatment Facility, Mental Illness
8572 W PALO VERDE AVE
PEORIA, AZ 85345
Residential Treatment Facility, Emotionally Disturbed Children
8572 W PALO VERDE AVE
PEORIA, AZ 85345

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 Martha's Residential Care LLC's NPI number?

The NPI number for Martha's Residential Care LLC is 1962818187. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Martha's Residential Care LLC located?

Martha's Residential Care LLC is located at 8572 W Palo Verde Ave, Peoria, AZ 85345. The listed phone number is (480) 217-6996.

What is Martha's Residential Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Martha's Residential Care LLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.