Organization Active NPI

Crimson Living Facility LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1801589379
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRIMSON LIVING FACILITY LLC
Doing business as
Crimson Living Facility LLC
Practice address
3322 S 66TH LN
Phoenix, AZ 85043-1961
Phone
(925) 481-1445
NPI assigned
May 31, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Kamar Ferguson
Title
Owner/ Administrator
Phone
(925) 481-1445

Specialties & licenses 1

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

Addresses

Primary practice location

3322 S 66TH LN
Phoenix, AZ 85043-1961

Mailing address

3322 S 66TH LN
Phoenix, AZ 85043-1961
Phone (925) 481-1445

Other names 1

  • Crimson Living Facility LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1801589379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 S 66TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431961",
            "telephone_number": "925-481-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S 66TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431961",
            "telephone_number": "925-481-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KAMAR",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "925-481-1445"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crimson Living Facility LLC",
            "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 Jun 1, 2023; 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.