FULLER LIFE LLC
NPI 1780329524
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Q: What is Fuller Life LLC's NPI number?

The NPI number for Fuller Life LLC is 1780329524. It was assigned to this organization in the NPPES registry on May 4, 2022.

Q: What is Fuller Life LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fuller Life LLC was last updated on May 4, 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.

Active since May 04, 2022

10720 W INDIAN SCHOOL RD # 19-154, PHOENIX, AZ 85037(480) 286-0568 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fuller Life Llc NPPES

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

FULLER LIFE LLC (NPI 1780329524) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since May 2022. The organization lists Steven Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1780329524

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameFULLER LIFE LLC

Location Address10720 W INDIAN SCHOOL RD # 19-154Phoenix, AZ 85037-5721

Mailing Address10720 W Indian School Rd # 19-154Phoenix, AZ 85037-5721 · (480) 286-0568

Phone(480) 286-0568

Organization SubpartNo

Authorized OfficialSteven FullerOwner · (480) 286-0568

Enumeration DateMay 4, 2022

NPPES CertifiedMay 4, 2022

✔ NPI 1780329524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

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.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

10720 W INDIAN SCHOOL RD # 19-154, Phoenix, AZ 85037

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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 Fuller Life LLC's NPI number?

The NPI number for Fuller Life LLC is 1780329524. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Fuller Life LLC located?

Fuller Life LLC is located at 10720 W Indian School Rd # 19-154, Phoenix, AZ 85037. The listed phone number is (480) 286-0568.

What is Fuller Life LLC'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 Fuller Life LLC was last updated on May 4, 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.