PRESIDENTIAL MANSIONCARE, LLC – NPI #1457120818
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

PRESIDENTIAL MANSIONCARE, LLC is a psychiatric residential treatment facility located in GOODYEAR, AZ. NPPES has assigned the NPI number 1457120818 to PRESIDENTIAL MANSIONCARE, LLC on December 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

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 PRESIDENTIAL MANSIONCARE, LLC below.

NPI Profile for
PRESIDENTIAL MANSIONCARE, LLC

NPI Number
1457120818
Enumeration Date

(more than 2 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
PRESIDENTIAL MANSIONCARE, LLC
Primary location
18428 W MIAMI ST
GOODYEAR, AZ 85338-7490
Phone: (623) 202-9583 Fax: (623) 822-0715
Mailing address
Same as primary location
Organization Subpart
Yes - PRESIDENTIAL MANSIONCARE, LLC is subpart of another organization.
Authorized Official
KENNEDY AMUGHAN
CEO
Phone: (623) 202-9583
Updated
Certification Date
Dec 27, 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.

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
323P00000X
- Psychiatric Residential Treatment Facility (Primary)

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.