MATA RESIDENTIAL CARE LLC NPI 1952095036

NPI Information

  • NPI: 1952095036
  • Provider Name: MATA RESIDENTIAL CARE LLC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 8805 W GLENN DR
    GLENDALE, AZ
    ZIP 85305
  • Phone: (207) 408-2792

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NPI Details

MATA RESIDENTIAL CARE LLC is a developmental disabilities clinic center in Glendale, AZ. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MATA RESIDENTIAL CARE LLC NPI is 1952095036. The provider is registered as an organization entity type.

The provider's business location address is:

8805 W GLENN DR
GLENDALE, AZ
ZIP 85305-903
Phone: (207) 408-2792

The provider's authorized official is Sonia U Ntare .
The authorized official title is Ceo and has the following contact phone number (207) 408-2792.

The enumeration date for this NPI number is 6/2/2023 and was last updated on 6/2/2023.

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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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

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