Active NPI
Cherishing Life LLC
- Substance Abuse Rehabilitation Facility
- Chandler, AZ
National Provider Identifier
1790306348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CHERISHING LIFE LLC
- Practice address
- 380 N Eucalyptus PL
Chandler, AZ 85225-8254 - Phone
- (614) 749-4106
- NPI assigned
- May 5, 2020
- 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
- Kennedy Kofi Siaw
- Title
- Owner
- Phone
- (614) 749-4106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
380 N Eucalyptus PL
Chandler, AZ 85225-8254
Mailing address
380 N Eucalyptus PL
Chandler, AZ 85225-8254
Phone (614) 749-4106
Other names 1
- CHERISHING LIFE BEHAVIORAL HOME
National Provider Directory
National Provider Directory- Tax ID family
- Cherishing Life Behavioral Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Florence, AZ
- NPI 1992480107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1790306348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 N EUCALYPTUS PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258254",
"telephone_number": "614-749-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N EUCALYPTUS PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258254",
"telephone_number": "614-749-4106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERISHING LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "SIAW",
"authorized_official_first_name": "KENNEDY",
"authorized_official_middle_name": "KOFI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-749-4106"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHERISHING LIFE BEHAVIORAL HOME",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHERISHING LIFE BEHAVIORAL HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.