Organization Active NPI

Desire Rusingizwa

  • Assisted Living Facility (Mental Illness)
  • Litchfield Park, AZ
National Provider Identifier
1326317413
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
BH-3918 Issued in AZ
Legal business name
DESIRE RUSINGIZWA
Practice address
12634 W Estero LN
Litchfield Park, AZ 85340-5156
Phone
(602) 214-9544
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Charnise Moore, DRPH, MPH, CHC, CHRC
Title
Chief Program Officer
Phone
(602) 285-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X BH-3918 AZ Primary

Addresses

Primary practice location

12634 W Estero LN
Litchfield Park, AZ 85340-5156

Mailing address

12634 W Estero LN
Litchfield Park, AZ 85340-5156
Phone (602) 214-9544

Other identifiers 1

IdentifierTypeStateIssuer
BH-3918MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Allthrive365 BHS25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1326317413",
    "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": "853405156",
            "telephone_number": "602-214-9544"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRE RUSINGIZWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARNISE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "602-285-1800",
        "authorized_official_credential": "DRPH, MPH, CHC, CHRC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH-3918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH-3918",
            "state": "AZ"
        }
    ],
    "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 Mar 20, 2026; 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.