R.E.a.L. Care of Az LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

R.E.A.L. CARE OF AZ LLC

Practice address

1532 W Charleston Ave
Phoenix, AZ 85023-2507

Phone

(480) 597-3870

Fax

(480) 687-9460

NPI assigned

Sep 26, 2025

Last updated

Jul 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Ketchum

Title

Manager

Phone

(714) 473-0965

Specialties & licenses 1

Addresses

Other names 2

• R.E.A.L. CARE at 27th Place Other name
• R.E.A.L. CARE at Charleston Other name

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1699648493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W CHARLESTON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850232507",
            "telephone_number": "480-597-3870",
            "fax_number": "480-687-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W CHARLESTON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850232507",
            "telephone_number": "480-597-3870",
            "fax_number": "480-687-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13209 N 27th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325907",
            "country_code": "US",
            "telephone_number": "480-597-3870",
            "fax_number": "480-687-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R.E.A.L. CARE OF AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-473-0965"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.E.A.L. CARE at 27th Place",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R.E.A.L. CARE at Charleston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.