Living 365 LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LIVING 365 LLC

Practice address

2267 S 173Rd Dr
Goodyear, AZ 85338-1961

Phone

(623) 248-4342

Fax

(623) 248-6096

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Angela MuhammadNPI 1134649049

Title

Owner

Phone

(623) 248-4342

Specialties & licenses 6

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Muhammad, RN

  • Medical-Surgical Registered Nurse
  • Goodyear, AZ
  • NPI 1134649049
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1962052266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 E QUICKSILVER AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852124005",
            "telephone_number": "803-600-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 S 173RD DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381961",
            "telephone_number": "623-248-4342",
            "fax_number": "623-248-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING 365 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-248-4342"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "living365llc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "receives encrypted emails for patient referrals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient referrals and intake information",
            "address_1": "2267 S 173rd Dr",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853381961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose M Lisowski, LMP
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• Irene Little
• Slade Little
• Hannah Lobato, RN
• Melissa Ann Lockett, NP
• Tennille Dawn Loeffelholz
• Jill Renae Lomonaco, M.S SLP
• Mark Ralph Lonquist, MD

• Mental Illness Community Based Residential Treatment Facility in Goodyear, AZ
• Providers in Goodyear, 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 Dec 16, 2019; 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.