Organization Active NPI

Cherishing Life LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
National Provider Identifier
1790306348
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Apr 30, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cherishing Life Behavioral Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.