1235863531 NPI number — PROGRESSIVE LIVING WELLNESS CENTER, LLC

Table of content: (NPI 1235863531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235863531 NPI number — PROGRESSIVE LIVING WELLNESS CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROGRESSIVE LIVING WELLNESS CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235863531
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2177 E WARNER RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMPE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85284-3511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-773-8480
Provider Business Mailing Address Fax Number:
480-546-3626

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2177 E WARNER RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85284-3511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-773-8480
Provider Business Practice Location Address Fax Number:
480-546-3626
Provider Enumeration Date:
07/12/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GETAWERU
Authorized Official First Name:
LYDDIA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
480-773-8480

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: BH7784 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".