Organization Active NPI

Living Above Expectations Healthcare LLC.

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1083365258
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 1, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.