NPIMap

Organization Active NPI

Trinity Integrated Healthcare

Doing business as Moses Behavioral Care, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1184162588
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH5042 Issued in AZ
Legal business name
TRINITY INTEGRATED HEALTHCARE
Doing business as
Moses Behavioral Care, LLC
Practice address
827 E Chipman Road
Phoenix, AZ 85040
Phone
(480) 589-6692
NPI assigned
Feb 6, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clement Agboola
Title
Member
Phone
(480) 589-6692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH5042 AZ Primary

Addresses

Primary practice location

827 E Chipman Road
Phoenix, AZ 85040

Mailing address

4635 S 7TH St
Phoenix, AZ 85040-2219
Phone (480) 589-6692

Other names 1

  • Moses Behavioral Care, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Behavioral Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1184162588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402219",
            "telephone_number": "480-589-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E CHIPMAN ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "480-589-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTEGRATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "AGBOOLA",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-589-6692"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moses Behavioral Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.