Organization · NPI-2

Family Support Care LLC

Community Based Residential Treatment Facility, Mental Illness · Peoria, AZ

NPI number1972437614
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1972437614
Entity type
Organization (NPI-2)
Legal business name
Family Support Care LLC
Organization subpart
No
Enumeration date
Jun 9, 2026
Certification date
Jun 8, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

16601 N 75th Ave Unit 2084
Peoria, AZ 85382-5047

Phone 480-799-9484 · Fax 480-799-9484

Mailing address

16601 N 75th Ave Unit 2084
Peoria, AZ 85382-5047

Phone 480-799-9484 · Fax 480-799-9484

Authorized official

Genevee Hall
Manager
4807999484

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Based Residential Treatment Facility, Mental Illness providers in Peoria, AZ