OrganizationActive
Family Support Care
NPI 1386958239 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Chandler, AZ
Provider details
- NPI number
- 1386958239
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kingsley Okyere, MD(614) 286-8511
- License
- BH-3567 (AZ)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense BH-3567 (AZ)
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1209 W Boston St
Chandler, AZ 85224-6168
Phone: (614) 286-8511
Fax: (614) 416-2091
Street-level locationGet directions
Mailing address
1209 W Boston St
Chandler, AZ 85224-6168
Registry dates
- Enumerated
- 2010-08-03
- Last updated
- 2010-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.