MOSES BEHAVIORAL CARE – NPI #1447658943
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

MOSES BEHAVIORAL CARE is a residential treatment facility (RTF) located in SURPRISE, AZ. NPPES has assigned the NPI number 1447658943 to MOSES BEHAVIORAL CARE on December 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. 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 MOSES BEHAVIORAL CARE below.

NPI Profile for
MOSES BEHAVIORAL CARE

NPI Number
1447658943
Enumeration Date

(more than 11 years 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
MOSES BEHAVIORAL CARE
Primary location
17622 W PORT ROYALE LN
SURPRISE, AZ 85388-7792
Phone: (480) 286-3366 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE AGBOOLA
ADMINISTRATOR
Phone: (480) 589-6692
Updated
Certification Date
Mar 05, 2024

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.

Identifiers

Identifiers for MOSES BEHAVIORAL CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ918102
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
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
AZ BH4520

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.