NPIMap

Organization Active NPI

Martha's Residential Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Peoria, AZ
National Provider Identifier
1184313199
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MARTHA'S RESIDENTIAL CARE LLC
Practice address
7564 W Charter Oak Rd
Peoria, AZ 85381-5322
Phone
(623) 255-4262
Fax
(623) 321-6223
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Saffiatu S Tunis
Title
Administrator
Phone
(480) 217-6996

Specialties & licenses 1

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

Addresses

Primary practice location

7564 W Charter Oak Rd
Peoria, AZ 85381-5322

Mailing address

7564 W Charter Oak Rd
Peoria, AZ 85381-5322
Phone (623) 255-4262

National Provider Directory

National Provider Directory
Tax ID family
Martha's Residential Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1184313199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7564 W CHARTER OAK RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815322",
            "telephone_number": "623-255-4262",
            "fax_number": "623-321-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7564 W CHARTER OAK RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815322",
            "telephone_number": "623-255-4262",
            "fax_number": "623-321-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "TUNIS",
        "authorized_official_first_name": "SAFFIATU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-217-6996"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.