Brandi Ann Jimenez

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH10482 Issued in AZ

Practice address

7576 W Darrel Rd
Laveen, AZ 85339-7086

Phone

(623) 296-4535

NPI assigned

Apr 29, 2025

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Olivia Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Restoring Lives LLC

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
  • NPI 1437031937
  NPD Authorized official

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1952199986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7576 W DARREL RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397086",
            "telephone_number": "623-296-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7576 W DARREL RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397086",
            "telephone_number": "623-296-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH10482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "ROBINSON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harris Jatoi, DDS
• JDL-Ctspa
• Josephine Gibson Jeter
• Jezzob Behavioral Health LLC
• Jezzob Non Emergency Medical Transportation LLC
• Donna Marie Johnson
• Shurlanda D Johnson
• Tanya Johnson
• Sharron Anne Jones-Daggett, MD, MS
• John L Jones, MS, LASAC

• Mental Illness Community Based Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.