NPIMap

Organization Active NPI

Forward in Life LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1609678234
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FORWARD IN LIFE LLC
Doing business as
Forward In Life II
Practice address
4249 N 103Rd Ave
Phoenix, AZ 85037-0001
Phone
(480) 404-4159
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Melissa Nash
Title
Owner
Phone
(480) 404-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4249 N 103Rd Ave
Phoenix, AZ 85037-0001

Mailing address

8402 N 33Rd Dr
Phoenix, AZ 85051-5916
Phone (480) 404-4159

Other names 1

  • Forward In Life II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forward in Life LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1609678234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 N 33RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515916",
            "telephone_number": "480-404-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 N 103RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370001",
            "telephone_number": "480-404-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD IN LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-404-4159"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward In Life II",
            "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 Mar 25, 2025; 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.