LIVE INDIVIDUATE VIBRATE EVOLVE AND EXPAND - LIVE
NPI 1043049182
Community/Behavioral Health in Pomona, CA

Q: What is Live Individuate Vibrate Evolve And Expand - Live's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 29, 2024

1554 SOUT GAREY AVE, APT C, POMONA, CA 91766(909) 455-7733(866) 598-3594 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Live Individuate Vibrate Evolve And Expand - Live NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE INDIVIDUATE VIBRATE EVOLVE AND EXPAND - LIVE (NPI 1043049182) is a healthcare organization registered as a community/behavioral health in Pomona, California and active in the NPI registry since July 2024. The organization lists Anthony C. Rucker, Director, as its authorized official.

NPPES Registry Identity

NPI1043049182

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIVE INDIVIDUATE VIBRATE EVOLVE AND EXPAND - LIVE

Location Address1554 SOUT GAREY AVE, APT CPomona, CA 91766-5244

Mailing AddressPo Box 441Pomona, CA 91769-0441 · (909) 455-7733 · Fax (866) 598-3594

Phone(909) 455-7733

Fax(866) 598-3594

Organization SubpartNo

Authorized OfficialAnthony C. RuckerDirector · (917) 754-3691

Enumeration DateJuly 29, 2024

NPPES CertifiedJuly 23, 2024

✔ NPI 1043049182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1554 SOUT GAREY AVE, Pomona, CA 91766

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Individuate Vibrate Evolve And Expand - Live's NPI number?

The NPI number for Live Individuate Vibrate Evolve And Expand - Live is 1043049182. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Live Individuate Vibrate Evolve And Expand - Live located?

Live Individuate Vibrate Evolve And Expand - Live is located at 1554 Sout Garey Ave Apt C, Pomona, CA 91766. The listed phone number is (909) 455-7733.

What is Live Individuate Vibrate Evolve And Expand - Live's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Live Individuate Vibrate Evolve And Expand - Live was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.