Ataraxia Health & Life Alternatives, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC

Doing business as

Liberty

Practice address

2600 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6310

Phone

(813) 313-8486

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Moore-Hargrove

Title

Managing Member

Phone

(813) 313-8486

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• Liberty Doing business as

Locations

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1952948341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CYPRESS RIDGE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446310",
            "telephone_number": "813-313-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CYPRESS RIDGE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446310",
            "telephone_number": "813-313-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE-HARGROVE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-313-8486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014867300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gem M Ashby, MD
• Arielle Ashkenazi, DO
• Syed S Aslam, MD
• Heather Asteasuainzarra
• Alexander Adon Atanes
• Sizzly M Auer, LM, CPM, CD, CCBE
• Brian J Augustine, DC, DACNB
• Melissa Auman, ARNP
• Autism Spectrum Therapy LLC
• Sandra Tatiana Aviles Cervera, LCSW-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.