NPIMap

Organization Active NPI

Live Well Assisted Living

  • Mental Health Counselor
  • Litchfield Park, AZ
National Provider Identifier
1295175719
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE WELL ASSISTED LIVING
Practice address
12634 W Estero LN
Litchfield Park, AZ 85340-5156
Phone
(602) 214-9544
Fax
(623) 266-4688
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Desire Rusingizwa
Title
Program Director
Phone
(602) 214-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12634 W Estero LN
Litchfield Park, AZ 85340-5156

Mailing address

12634 W Estero LN
Litchfield Park, AZ 85340
Phone (602) 214-9544

National Provider Directory

National Provider Directory
Tax ID family
Live Well Assisted Living10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1295175719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 W ESTERO LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "602-214-9544",
            "fax_number": "623-266-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 W ESTERO LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405156",
            "telephone_number": "602-214-9544",
            "fax_number": "623-266-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "RUSINGIZWA",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-214-9544"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.