Engaging Life Integrated Wellness Center
Organization Active NPI Non-emergency Medical Transport (VAN) · Youngtown, AZ
NPI 1023601382 · NPPES record last updated Feb 18, 2021
Key facts
- NPI
- 1023601382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- ENGAGING LIFE INTEGRATED WELLNESS CENTER
- Practice address
- 12600 N. 13TH Avenue
Suite B8
Youngtown, AZ 85363 - Phone
- (602) 845-0767
- Fax
- (602) 715-0647
- NPI assigned
- Feb 18, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- ENGAGING LIFE CENTER
Authorized official
- Name
- Henry Mercado
- Title
- Cfo
- Phone
- (602) 845-0767
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Engaging Life Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
12600 N. 13TH Avenue
Suite B8
Youngtown, AZ 85363
Mailing address
12600 N. 13TH Avenue
Suite B8
Youngtown, AZ 85363
Phone (602) 845-0767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000001 | Other | NO NUMBER OBTAINED |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@engaginglifecenter.com | Direct | Engaging Life Center |
Other providers in Youngtown, AZ
- John E Cooper II
- Crossing Paths LLC
- Larry W Danser
- David Anderson PLLC
- Engaging Life Center
- Kate Engels
- Alina Feliciano
- Marcia Feliciano
- Deborah Ann Gonzales
- Benjamin Handler
All providers in Youngtown, AZ · Non-emergency Medical Transport (VAN) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.