PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES – NPI #1780523175
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES is a residential treatment facility located in PHOENIX, AZ. NPPES recently assigned the NPI number 1780523175 to PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES on March 28, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES below.

NPI Profile for
PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES

NPI Number
1780523175
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES
Primary location
6565 N 17TH AVE APT 11
PHOENIX, AZ 85015-1330
Phone: (801) 815-3521 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATILDA MASUMBA
DIRECTOR
Phone: (801) 815-3521
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
385HR2065X
- Respite Care / Respite Care, Physical Disabilities, Child
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child
385H00000X
- Respite Care
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
253Z00000X
- In Home Supportive Care
253J00000X
- Foster Care Agency
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.