Back to Life, Incorporated
NPI 1093223125 · Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ
Back to Life, Incorporated is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Phoenix, AZ (NPI 1093223125).
Provider details
- NPI number
- 1093223125
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gracie Padilla, Chief Executive Officer(602) 999-2400
- License
- BH-5346 (AZ)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense BH-5346 (AZ)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2019-10-18
Frequently asked questions
- What is Back to Life, Incorporated's NPI number?
- Back to Life, Incorporated's National Provider Identifier (NPI) is 1093223125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back to Life, Incorporated?
- Back to Life, Incorporated is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Back to Life, Incorporated located?
- Back to Life, Incorporated's practice location on file with NPPES is 3301 N 63rd Ave, Phoenix, AZ 85033-5203.
- What is Back to Life, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Back to Life, Incorporated is (623) 249-4448.
- Who is the authorized official for Back to Life, Incorporated?
- The authorized official listed on Back to Life, Incorporated's NPPES record is Gracie Padilla, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back to Life, Incorporated's NPI active?
- Yes — Back to Life, Incorporated's NPI (1093223125) is active in the NPPES registry as of the last update on 2019-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.