Live for Life Cypress

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LIVE FOR LIFE CYPRESS

Practice address

3023 N Bronzewood Cir
Erda, UT 84074-3302

Phone

(801) 577-4142

NPI assigned

Mar 26, 2015

Last updated

Feb 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy Shaw

Title

Executive Director

Phone

(801) 577-4142

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan L Havili

  • Community Health Worker
  • Erda, UT
  • NPI 1720623994
  NPD (past)
• Atunaisa O Havili

  • Community Health Worker
  • Erda, UT
  • NPI 1619513363
  NPD (past)
• Edgar J Martinez

  • Community Health Worker
  • Erda, UT
  • NPI 1881230530
  NPD (past)
• Frank C Wolfgramm

  • Community Health Worker
  • Erda, UT
  • NPI 1962048611
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1922492057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BRONZEWOOD CIR",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840743302",
            "telephone_number": "801-577-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BRONZEWOOD CIR",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840743302",
            "telephone_number": "801-577-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE FOR LIFE CYPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-577-4142"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "9716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin King Fackler, FNP-C
• Allan L Havili
• Atunaisa O Havili
• Melodyann Oberle Jones
• Marsha C Knight
• Edgar J Martinez
• Mike Rady, NP-C
• Emily Marie Smith, DNP
• Lindsay Sundloff
• Kristy Johnson Trujillo

• Mental Illness Community Based Residential Treatment Facility in Erda, UT
• Providers in Erda, UT by specialty
• Mental Illness Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.