Active NPI
Desire Rusingizwa
- Assisted Living Facility (Mental Illness)
- Litchfield Park, AZ
National Provider Identifier
1326317413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- BH-3918
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH-3918 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Allthrive365 BHS
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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.