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LIVE WELL ASSISTED LIVING LLC
NPI 1124708607
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since July 20, 2023
4544 N 91ST DR, PHOENIX, AZ 85037(623) 444-7824 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Residential Treatment Facility, Intellec...

About LIVE WELL ASSISTED LIVING LLC

This page provides the complete NPI Profile along with additional information for Live Well Assisted Living Llc, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1124708607 assigned on July 2023. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Desire Rusingizwa (Program Director)

NPI
1124708607 Verify this NPI
Provider Name
LIVE WELL ASSISTED LIVING LLC
Entity Type
Organization
Location Address
4544 N 91ST DR PHOENIX, AZ 85037
Location Phone
(623) 444-7824
Mailing Address
4544 N 91ST DR PHOENIX, AZ 85037
Mailing Phone
(623) 444-7824
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2023
Last Update Date
07-20-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DESIRE RUSINGIZWA

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(623) 877-3764

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

LIVE WELL ASSISTED LIVING
Psychiatric Residential Treatment Facility
4544 N 91ST DR
PHOENIX, AZ 85037
Maricopa County (623) 399-7824

Frequently Asked Questions

What is LIVE WELL ASSISTED LIVING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1124708607, enumerated as an "organization" on July 20, 2023.

Where is the provider located?

The provider is located at 4544 N 91ST DR PHOENIX, AZ 85037 and the phone number is (623) 444-7824.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.