AUDACIOUS LIVING LLC (NPI# 1326652652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326652652 |
| Entity Type | Organization |
| Organization Name | AUDACIOUS LIVING LLC |
| Practice Address |
1922 W Las Palmaritas Dr Apt J110 Phoenix AZ 85021-5041 |
| Practice Telephone | 7026835187 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | CASSANDRA HILDRETH (OWNER) |
| Authorized Official Telephone | 7026835187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1922 W LAS PALMARITAS DR APT J110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
| 1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
| 1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
| 1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
| 1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
| 1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
| 1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
| 1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
| 1790307486 | Smith-zen Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2727 E Camelback Rd Apt 207, Phoenix, AZ 85016-4472 | 2020-05-15 |
| 1689293177 | 4 A Health Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8330 N 19th Ave Apt 2095, Phoenix, AZ 85021-5277 | 2020-04-14 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.