OrganizationActive
Care One Behavioral Health Group Home LLC
NPI 1811723943 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Goodyear, AZ
Provider details
- NPI number
- 1811723943
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marie Campbell, Manager(702) 957-7817
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
15550 W Harvard St Apt 123
Goodyear, AZ 85395-7533
Phone: (702) 957-7817
Approximate (ZIP-level) locationGet directions
Mailing address
15550 W Harvard St Apt 123
Goodyear, AZ 85395-7533
Registry dates
- Enumerated
- 2024-09-13
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.