MOSES BEHAVIORAL CARE NPI 1447658943

NPI Information

  • NPI: 1447658943
  • Provider Name: MOSES BEHAVIORAL CARE
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Address: 17622 W PORT ROYALE LN
    SURPRISE, AZ
    ZIP 85388
  • Phone: (480) 286-3366

Map and Directions

Get Directions

NPI Details

MOSES BEHAVIORAL CARE is a residential treatment facility physical disabilities in Surprise, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MOSES BEHAVIORAL CARE NPI is 1447658943. The provider is registered as an organization entity type.

The provider's business location address is:

17622 W PORT ROYALE LN
SURPRISE, AZ
ZIP 85388-792
Phone: (480) 286-3366

The provider's authorized official is Steve Agboola .
The authorized official title is Administrator and has the following contact phone number (480) 589-6692.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesBH4520ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1918102MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI