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LIVE WELL ASSISTED LIVING LLC
NPI 1730846866
Community Based Residential Treatment Facility, Mental Illness in Glendale, AZ

Active since November 23, 2021
12914 W SIERRA VISTA DR, GLENDALE, AZ 85307(602) 214-9544(855) 538-5652 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Live Well Assisted Living Llc NPPES

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

LIVE WELL ASSISTED LIVING LLC (NPI 1730846866), doing business as Live Well Residential Care, is a healthcare organization registered as a community based residential treatment facility, mental illness in Glendale, Arizona and active in the NPI registry since November 2021. The organization lists Desire Rusingizwa, Program Director, as its authorized official.

NPPES Registry Identity

NPI1730846866
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLIVE WELL ASSISTED LIVING LLC
Location Address12914 W SIERRA VISTA DRGlendale, AZ 85307-1915
Mailing Address12634 W Estero LnLitchfield Park, AZ 85340-5156 · (602) 214-9544
Phone(602) 214-9544
Fax(855) 538-5652
Organization SubpartYes
Authorized OfficialDesire RusingizwaProgram Director · (602) 214-9544
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1730846866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
12914 W SIERRA VISTA DR, Glendale, AZ 85307
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Other Names 1

Doing Business AsLive Well Residential Care

Other Providers at the Same Location NPPES

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

MAYA THERAPY CENTER LLC
Community Based Residential Treatment Facility, Mental Illness
12914 W SIERRA VISTA DR
GLENDALE, AZ 85307
Maricopa County (602) 322-7038

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 LLC's NPI number?

The NPI number for Live Well Assisted Living LLC is 1730846866. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Live Well Residential Care.

Where is Live Well Assisted Living LLC located?

Live Well Assisted Living LLC is located at 12914 W Sierra Vista Dr, Glendale, AZ 85307. The listed phone number is (602) 214-9544.

What is Live Well Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Live Well Assisted Living LLC was last updated on November 23, 2021. 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.