SUCCESSFUL LIVINGS LLC NPI 1235532060

NPI Information

  • NPI: 1235532060
  • Provider Name: SUCCESSFUL LIVINGS LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 304 N LINCOLN AVE
    CASA GRANDE, AZ
    ZIP 85122
  • Phone: (480) 560-8924

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NPI Details

SUCCESSFUL LIVINGS LLC is a residential treatment facility emotionally disturbed children in Casa Grande, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SUCCESSFUL LIVINGS LLC NPI is 1235532060. The provider is registered as an organization entity type.

The provider's business location address is:

304 N LINCOLN AVE
CASA GRANDE, AZ
ZIP 85122-634
Phone: (480) 560-8924
Fax: (520) 350-1790

The provider's authorized official is Darrell Lemont Ellis .
The authorized official title is Administrator and has the following contact phone number (480) 560-8924.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH-4483ARIZONAYes

What is NPI?

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This page was last updated on: 11/21/2025

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