Prime Care Residential and Behavioral Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES

Practice address

6565 N 17TH Ave Apt 11
Phoenix, AZ 85015-1330

Phone

(801) 815-3521

NPI assigned

Mar 28, 2026

Organization subpart

No

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

Authorized official

Name

Matilda Namuchana Masumba

Title

Director

Phone

(801) 815-3521

Specialties & licenses 9

Addresses

Tax ID family

Prime Care Residential and Behavioral Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prime Care Residential and Behavioral Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1801744065
  NPD tax ID

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1780523175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N 17TH AVE APT 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151330",
            "telephone_number": "801-815-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N 17TH AVE APT 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151330",
            "telephone_number": "801-815-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE RESIDENTIAL AND BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MASUMBA",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_middle_name": "NAMUCHANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-815-3521"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Lab Services LLC
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• Primavera Assisted Living LLC
• Prime Care Hospice, LLC
• Prime Care Residential and Behavioral Services
• Prime Cure Pharmacy LLC
• Prime Dental Care, LLC
• Prime Eye Care PC
• Prime Medical Clinic, PLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.