HERITAGE LANE BEHAVIORAL ASSISTED LIVING
NPI 1144452988
Assisted Living Facility - Assisted Living, Mental Illness in Mesa, AZ

Q: What is Heritage Life Center LLC's NPI number?

The NPI number for Heritage Life Center LLC is 1144452988. It was assigned to this organization in the NPPES registry on August 12, 2009. The provider is doing business as Heritage Lane Behavioral Assisted Living.

Q: What is Heritage Life Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since August 12, 2009

1041 S LEBARON, MESA, AZ 85210(480) 307-8809(480) 781-0019 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heritage Lane Behavioral Assisted Living NPPES

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

HERITAGE LANE BEHAVIORAL ASSISTED LIVING (NPI 1144452988) is a healthcare organization registered as an assisted living, mental illness in Mesa, Arizona and active in the NPI registry since August 2009. The organization lists Reed T Gunnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1144452988

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameHERITAGE LIFE CENTER LLC

Location Address1041 S LEBARONMesa, AZ 85210-3630

Mailing Address1041 S LebaronMesa, AZ 85210-3630 · (480) 307-8809 · Fax (480) 307-8949

Phone(480) 307-8809

Fax(480) 781-0019

Organization SubpartNo

Authorized OfficialReed T GunnellOwner · (480) 307-8809

Enumeration DateAugust 12, 2009

Last NPPES UpdateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1144452988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1041 S LEBARON, Mesa, AZ 85210

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Other Names 1

Doing Business AsHeritage Lane Behavioral Assisted Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANA J. PETERSON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1041 S LEBARON
MESA, AZ 85210

Maricopa County (480) 788-4628

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 Heritage Life Center LLC's NPI number?

The NPI number for Heritage Life Center LLC is 1144452988. It was assigned to this organization in the NPPES registry on August 12, 2009. The provider is doing business as Heritage Lane Behavioral Assisted Living.

Where is Heritage Life Center LLC located?

Heritage Life Center LLC is located at 1041 S Lebaron, Mesa, AZ 85210. The listed phone number is (480) 307-8809.

What is Heritage Life Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Heritage Life Center LLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.