Active NPI
Living Above Expectations Healthcare LLC.
- Adult Mental Health Clinic/Center
- Phoenix, AZ
National Provider Identifier
1083365258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LIVING ABOVE EXPECTATIONS HEALTHCARE LLC.
- Practice address
- 4045 E Union Hills Dr Ste A109
Phoenix, AZ 85050-3386 - Phone
- (602) 675-2177
- Fax
- (602) 675-3025
- NPI assigned
- Jan 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya A. Henderson
- Title
- C.E.O
- Phone
- (602) 675-2177
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
4045 E Union Hills Dr Ste A109
Phoenix, AZ 85050-3386
Mailing address
4045 E Union Hills Dr Ste A109
Phoenix, AZ 85050-3386
Phone (602) 675-2177
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1083365258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE A109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503386",
"telephone_number": "602-675-2177",
"fax_number": "602-675-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE A109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503386",
"telephone_number": "602-675-2177",
"fax_number": "602-675-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING ABOVE EXPECTATIONS HEALTHCARE LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "LATOYA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "602-675-2177"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
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- Lynette Livesay, PSYD
- Madilyn Livesay, RBT
- Livi Medical Services LLC
- Living 4 You Care in-Home Care Support LLC
- Living and Balance Wellness Center LLC
- Living Free to Be US Housing and Home Care LLC
- Living Hope Arcadia LLC
- Living Hope Behavioral and Mental Health Care
- Living Hope Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.