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LIVE WELL RESIDENTIAL CARE
NPI 1528586195
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Litchfield Park, AZ

Active since September 05, 2017
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340(623) 877-3293(855) 538-5652 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Live Well Residential Care NPPES

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

LIVE WELL RESIDENTIAL CARE (NPI 1528586195) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Litchfield Park, Arizona and active in the NPI registry since September 2017. The organization lists Desire Rusingizwa, Program Director, as its authorized official.

NPPES Registry Identity

NPI1528586195
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIVE WELL ASSISTED LIVING
Location Address12634 W ESTERO LNLitchfield Park, AZ 85340-5156
Mailing Address10258 W Windsor BlvdGlendale, AZ 85307-4124 · (623) 877-3293 · Fax (855) 538-5652
Phone(623) 877-3293
Fax(855) 538-5652
Organization SubpartNo
Authorized OfficialDesire RusingizwaProgram Director · (602) 214-9544
Enumeration DateSeptember 5, 2017
✔ NPI 1528586195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in AZ · BH-5157
Definition
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.
12634 W ESTERO LN, Litchfield Park, AZ 85340
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Other Names 1

Doing Business AsLive Well Residential Care

Other Identifiers 1

Medicaid860056AZ

Other Providers at the Same Location NPPES 3

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

LIVE WELL ASSISTED LIVING
Counselor (Mental Health)
12634 W ESTERO LN
LITCHFIELD PARK, AZ 85340
Maricopa County (602) 214-9544
DESIRE RUSINGIZWA
Assisted Living Facility (Assisted Living, Mental Illness)
12634 W ESTERO LN
LITCHFIELD PARK, AZ 85340
Maricopa County (602) 214-9544
LIVE WELL ASSISTED LIVING LLC
Psychiatric Residential Treatment Facility
12634 W ESTERO LN
LITCHFIELD PARK, AZ 85340
Maricopa County (602) 214-9544

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 Well Assisted Living's NPI number?

The NPI number for Live Well Assisted Living is 1528586195. It was assigned to this organization in the NPPES registry on September 5, 2017. The provider is doing business as Live Well Residential Care.

Where is Live Well Assisted Living located?

Live Well Assisted Living is located at 12634 W Estero Ln, Litchfield Park, AZ 85340. The listed phone number is (623) 877-3293.

What is Live Well Assisted Living's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Live Well Assisted Living was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.