DESERT LIFE CENTER LLC
NPI 1962107607
Community/Behavioral Health in Avondale, AZ

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

The NPI number for Desert Life Center LLC is 1962107607. It was assigned to this organization in the NPPES registry on April 3, 2023.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 03, 2023

1109 N DYSART RD STE B, AVONDALE, AZ 85323(415) 424-0419 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Desert Life Center Llc NPPES

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

DESERT LIFE CENTER LLC (NPI 1962107607) is a healthcare organization registered as a community/behavioral health in Avondale, Arizona and active in the NPI registry since April 2023. The organization lists Sandra Patricia Balinda-kamanyire, Member, as its authorized official.

NPPES Registry Identity

NPI1962107607

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDESERT LIFE CENTER LLC

Location Address1109 N DYSART RD STE BAvondale, AZ 85323-1700

Mailing Address1109 N Dysart Rd Ste BAvondale, AZ 85323-1700

Phone(415) 424-0419

Organization SubpartNo

Authorized OfficialSandra Patricia Balinda-kamanyireMember · (415) 424-0419

Enumeration DateApril 3, 2023

Last NPPES UpdateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1962107607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1109 N DYSART RD STE B, Avondale, AZ 85323

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Life Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desert Life Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vincent Bett, PMHNP

Nurse Practitioner

NPI 1740902766

5909 ALICE AVE NE
Albuquerque, NM 87110

(505) 347-8507

✔ PECOS✔ Accepts Medicare349 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Desert Life Center LLC's NPI number?

The NPI number for Desert Life Center LLC is 1962107607. It was assigned to this organization in the NPPES registry on April 3, 2023.

Where is Desert Life Center LLC located?

Desert Life Center LLC is located at 1109 N Dysart Rd Ste B, Avondale, AZ 85323. The listed phone number is (415) 424-0419.

What is Desert Life Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Desert Life Center LLC enrolled in Medicare?

Yes. Desert Life Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Life Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Desert Life Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Desert Life Center LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.