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DESTINY SOBER LIVING II CARVER RANCH
NPI 1265849939
Substance Abuse Rehabilitation Facility in Laveen, AZ

Active since July 15, 2014
11629 S 43RD AVE, LAVEEN, AZ 85339(602) 249-6685 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Destiny Sober Living Ii Carver Ranch NPPES

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

DESTINY SOBER LIVING II CARVER RANCH (NPI 1265849939) is a healthcare organization registered as a substance abuse rehabilitation facility in Laveen, Arizona and active in the NPI registry since July 2014. The organization lists Marcus J Lewis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265849939
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDESTINY SOBER LIVING II CARVER RANCH
Location Address11629 S 43RD AVELaveen, AZ 85339-3245
Mailing Address11629 S 43rd AveLaveen, AZ 85339-3245 · (602) 249-6675
Phone(602) 249-6685
Organization SubpartNo
Authorized OfficialMarcus J LewisPresident/ceo · (602) 249-6675
Enumeration DateJuly 15, 2014
✔ NPI 1265849939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
11629 S 43RD AVE, Laveen, AZ 85339
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Other Identifiers 1

MedicaidXXXXAZ

Other Providers at the Same Location NPPES 2

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

MJL COMPANIES
Assisted Living Facility
11629 S 43RD AVE
LAVEEN, AZ 85339
Maricopa County (602) 237-7242
MJL COMPANIES LLC
Custodial Care Facility (Adult Care Home)
11629 S 43RD AVE
LAVEEN, AZ 85339
Maricopa County (602) 237-7242

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 Destiny Sober Living II Carver Ranch's NPI number?

The NPI number for Destiny Sober Living II Carver Ranch is 1265849939. It was assigned to this organization in the NPPES registry on July 15, 2014.

Where is Destiny Sober Living II Carver Ranch located?

Destiny Sober Living II Carver Ranch is located at 11629 S 43rd Ave, Laveen, AZ 85339. The listed phone number is (602) 249-6685.

What is Destiny Sober Living II Carver Ranch's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Destiny Sober Living II Carver Ranch was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.