Just Liv Behavioral Home LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JUST LIV BEHAVIORAL HOME LLC

Practice address

10227 N 56TH Dr
Glendale, AZ 85302-1403

Phone

(602) 203-5862

NPI assigned

Sep 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olivia Solanke

Title

Ceo

Phone

(602) 489-8616

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Dike

  • Nursing Home Administrator
  • Globe, AZ
  • NPI 1013570753
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1063136406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 N 56TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10227 N 56TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021403",
            "telephone_number": "602-203-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST LIV BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "SOLANKE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-489-8616"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH7580",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HELENN754@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10227 N 56th Dr",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853021403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise S Juillard, OTR
• Jody Juillerat
• Jessica Julia
• Jupiter Canyon Telehealth PLLC
• Sonia Jurek, M.A. LMFT
• Edward L Justen, PHARMD
• Morgan C Justice, PT, DPT, B.S.
• Justin C Ewell DMD PLC
• Amber Lyn Kaatz
• Kanyeba Leilani Kabongo, APRN, FNP-BC

• Community/Behavioral Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.