Living Innovation Center LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVING INNOVATION CENTER LLC

Practice address

5207 W Alt Mesa Ave
Laveen, AZ 85339-8570

Phone

(817) 495-7400

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Rugumanya Murama, MS

Title

Manager

Phone

(817) 495-7400

Specialties & licenses 1

Addresses

Other names 1

• Living innovation center LLC Former legal business name

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1790494458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6064 S AVENIDA DUNAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857060057",
            "telephone_number": "817-495-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 W ALT MESA AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398570",
            "telephone_number": "817-495-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6064 S Avenida Dunas",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857060057",
            "country_code": "US",
            "telephone_number": "817-495-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING INNOVATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "MURAMA",
        "authorized_official_first_name": "RUGUMANYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-495-7400",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living innovation center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.