NPIMap

Organization Active NPI

Uplift Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Peoria, AZ
National Provider Identifier
1386385235
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
UPLIFT CARE LLC
Practice address
7606 W Peoria Ave Apt 1085
Peoria, AZ 85345-5928
Phone
(207) 440-8012
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Samuel Blaise Nahimana
Title
Chief Executive Officer
Phone
(207) 440-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7606 W Peoria Ave Apt 1085
Peoria, AZ 85345-5928

Mailing address

7606 W Peoria Ave Apt 1085
Peoria, AZ 85345-5928
Phone (207) 440-8012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1386385235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 W PEORIA AVE APT 1085",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455928",
            "telephone_number": "207-440-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 W PEORIA AVE APT 1085",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455928",
            "telephone_number": "207-440-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "NAHIMANA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BLAISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-440-8012"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.