Enliven Specialty Nursing of Texas, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ENLIVEN SPECIALTY NURSING OF TEXAS, LLC

Practice address

700 N Estrella Pkwy Ste 235
Goodyear, AZ 85338-9332

Phone

(623) 478-2797

NPI assigned

Jul 24, 2018

Organization subpart

Yes

Parent organization

ENLIVEN HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Dustin Crowe, RN

Title

Chief Nursing Officer

Phone

(602) 549-0714

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1922585769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14122 W MCDOWELL RD STE 105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952503",
            "telephone_number": "623-478-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PKWY STE 235",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389332",
            "telephone_number": "623-478-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN SPECIALTY NURSING OF TEXAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENLIVEN HOLDINGS, LLC",
        "enumeration_date": "2018-07-24",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "602-549-0714",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Goodyear, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.