NPIMap

Organization Active NPI

Live Well Assisted Living LLC

Doing business as Live Well Residential Care

  • Psychiatric Residential Treatment Facility
  • Litchfield Park, AZ
National Provider Identifier
1891321782
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
LIVE WELL ASSISTED LIVING LLC
Doing business as
Live Well Residential Care
Practice address
12634 W Estero LN
Litchfield Park, AZ 85340-5156
Phone
(602) 214-9544
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVE WELL ASSISTED LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Desire Rusingizwa
Title
Program Director
Phone
(623) 877-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

12634 W Estero LN
Litchfield Park, AZ 85340-5156

Mailing address

12634 W Estero LN
Litchfield Park, AZ 85340-5156
Phone (602) 214-9544

Other names 1

  • LIVE WELL RESIDENTIAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live Well Assisted Living LLC10 organizations share this tax ID, including this one
Part of
Live Well Assisted Living LLC

Other organizations with this tax ID 9

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": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1891321782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 W ESTERO LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405156",
            "telephone_number": "602-214-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 W ESTERO LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405156",
            "telephone_number": "602-214-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVE WELL ASSISTED LIVING LLC",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "RUSINGIZWA",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "623-877-3764"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE WELL RESIDENTIAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.