Organization Active NPI

Livelee Concepts, LLC

Doing business as Acasa Glendale

  • In Home Supportive Care Agency
  • Glendale, AZ
National Provider Identifier
1881316057
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVELEE CONCEPTS, LLC
Doing business as
Acasa Glendale
Practice address
6630 W Cactus Rd Ste B103
Glendale, AZ 85304-1655
Phone
(623) 292-2273
Fax
(623) 292-2270
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Ronnie F Lee
Title
Manager/ Ceo
Phone
(702) 460-3644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6630 W Cactus Rd Ste B103
Glendale, AZ 85304-1655

Mailing address

4703 Heartstone Cir
Las Vegas, NV 89129-0403
Phone (702) 460-3644

Other names 1

  • Acasa Glendale Doing business as

National Provider Directory

National Provider Directory

Locations

6630 W Cactus Rd
Ste B103
Glendale, AZ 85304
Phone (623) 292-2273

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1881316057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 HEARTSTONE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891290403",
            "telephone_number": "702-460-3644",
            "fax_number": "623-292-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 W CACTUS RD STE B103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041655",
            "telephone_number": "623-292-2273",
            "fax_number": "623-292-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELEE CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER/ CEO",
        "authorized_official_telephone_number": "702-460-3644"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acasa Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.