MOSES BEHAVIORAL CARE – NPI #1255725248
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

MOSES BEHAVIORAL CARE is a community based residential treatment facility located in SURPRISE, AZ. NPPES has assigned the NPI number 1255725248 to MOSES BEHAVIORAL CARE on March 27, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Jul 10, 2023. 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
1255725248
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 85379
Phone: (480) 286-3366 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MOSES BEHAVIORAL CARE is subpart of another organization.
Authorized Official
ELIZABETH AGBOOLA
ADMINISTRATOR
Phone: (480) 589-6692
Updated
Certification Date
Jul 10, 2023

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
medicaidAZ986532
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (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.