Organization Active NPI

Lifes Journey LLC

  • Adult Care Home Facility
  • Glendale, AZ
National Provider Identifier
1467051508
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIFES JOURNEY LLC
Practice address
7591 N 85TH Dr
Glendale, AZ 85305-3982
Phone
(609) 462-9952
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mr. Ricardo Ramos
Title
Group Home Manager
Phone
(609) 462-9952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

7591 N 85TH Dr
Glendale, AZ 85305-3982

Mailing address

7591 N 85TH Dr
Glendale, AZ 85305-3982
Phone (609) 462-9952

Other identifiers 1

IdentifierTypeStateIssuer
0OtherPROCESS OF ACQUIRING OTHER IDENTIFIER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lifesjourneygh@outlook.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1467051508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 N 85TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053982",
            "telephone_number": "609-462-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 N 85TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053982",
            "telephone_number": "609-462-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "GROUP HOME MANAGER",
        "authorized_official_telephone_number": "609-462-9952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lifesjourneygh@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Provider address dedicated to manage health care information between doctors, nurses and other health care providers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7591 N 85th Dr",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853053982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.