Living Hope Community Care Centers LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LIVING HOPE COMMUNITY CARE CENTERS LLC

Practice address

3026 E San Manuel Rd
San Tan Valley, AZ 85143-4536

Phone

(480) 712-6170

NPI assigned

Aug 17, 2016

Organization subpart

Yes

Parent organization

GENESIS DEVELOPMENT GROUP LLCAs reported in NPPES

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

Authorized official

Name

Mr. Chad Roche

Title

Ceo

Phone

(480) 712-6170

Specialties & licenses 1

Addresses

Other names 1

• ELIZABETH HOUSE, LLC. Former legal business name

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1891240107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9598",
            "city": "CHANDLER HEIGHTS",
            "state": "AZ",
            "postal_code": "851279598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 E SAN MANUEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434536",
            "telephone_number": "480-712-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE COMMUNITY CARE CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS DEVELOPMENT GROUP LLC",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-712-6170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIZABETH HOUSE, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Custodial Care Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Custodial Care Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.