Organization · Type 2 NPI

Prime Care Residential and Behavioral Services

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ

NPI number 1780523175 Active

Practice location

6565 N 17th Ave Apt 11
Phoenix, AZ 85015-1330

Call (801) 815-3521 Map

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Foster Care Agency 253J00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed
Respite Care 385H00000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed
Child Physical Disabilities Respite Care 385HR2065XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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About NPI 1780523175

Prime Care Residential and Behavioral Services's National Provider Identifier is 1780523175, issued on Mar 28, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 29, 2026.