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Exclusive Certified Residential Care, LLC

Mental Illness Community Based Residential Treatment Facility in Kingman, AZ · enumerated 2016 · authorized official Maya Royce, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629528716

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Registry record

Entity type Organization (Type 2)
Legal business name Exclusive Certified Residential Care, LLC
Practice address 3744 Martingale Dr, Kingman, AZ, 86409
Fax (928) 255-1741
Enumeration date Oct 12, 2016
Last updated in NPPES Oct 12, 2016

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License BH4985 (AZ) Primary

Authorized official

Name Maya Royce
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Exclusive Certified Residential Care, LLC located?
The practice location on file with NPPES is in Kingman, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-12. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-12.