NPIMap

Organization Active NPI

Live Well Assisted Living LLC

  • Psychiatric Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1356969828
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
LIVE WELL ASSISTED LIVING LLC
Practice address
9210 W Loow Bend Lane
Phoenix, AZ 85037
Phone
(602) 214-9544
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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
(623) 877-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

9210 W Loow Bend Lane
Phoenix, AZ 85037

Mailing address

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

Other names 1

  • LIVE WELL RESIDENTIAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live Well Assisted Living LLC10 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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1356969828",
    "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": "9210 W LOOW BEND LANE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "602-214-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "RUSINGIZWA",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "623-877-3764"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE WELL RESIDENTIAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2020; 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.