Desert Life Center LLC · Community/Behavioral Health Agency

1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700

Overview

Desert Life Center LLC is a Community/Behavioral Health Agency (organization) practicing in Avondale, Arizona. The National Provider Identifier (NPI) is #1962107607, which was assigned on April 3, 2023, and the registration record was last updated on October 16, 2025. The practitioner's main practice location is at 1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700; the contact telephone number is 4154240419. The primary taxonomy of Desert Life Center LLC is Community/Behavioral Health Agency (251S00000X). The authorized official for Desert Life Center LLC is Sandra Patricia Balinda-Kamanyire (Member).

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.

Provider Information

NPI 1962107607
Entity Type Organization
Organization Name DESERT LIFE CENTER LLC
Provider Name DESERT LIFE CENTER LLC
Practice Address 1109 N Dysart Rd Ste B
Avondale
AZ 85323-1700
Practice Telephone 4154240419
Mailing Address 1109 N Dysart Rd Ste B
Avondale
AZ 85323-1700
Certification Date 2025-10-16
Enumeration Date 2023-04-03
Last Update Date 2025-10-16
Is Organization Subpart N

Authorized Official Information

Official Name SANDRA PATRICIA BALINDA-KAMANYIRE
Official Title MEMBER
Telephone 4154240419

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y251S00000XCommunity/Behavioral Health

Taxonomy Information

Primary Taxonomy

Code 251S00000X
Taxonomy Community/Behavioral Health Agency
Classification Community/Behavioral Health
Grouping Agencies
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.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition]

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Location Information

Street Address 1109 N DYSART RD STE B
City AVONDALE
State AZ
Zip Code 85323-1700
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Desert Life Center LLC 1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700Mental Health Clinic/Center (Including Community Mental Health Center)2025-12-12

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Walmart Stores, Inc. 13055 W Rancho Santa Fe Blvd, Avondale, AZ 85323-1700Optician2006-10-11

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michelle R Dotson 12115 W Van Buren St Apt 1924, Avondale, AZ 85323Contractor2016-08-28
Melissa Chavez 295 West Western Ave, Avondale, AZ 85323Speech-Language Assistant2023-04-18
Amanda Mann 12804 West Hildalgo, Avondale, AZ 85323Physical Therapy Assistant2014-10-03
Aquatic-N-Writing Rehad 12355 West Cocopah Street, Avondale, AZ 85323Home Health Agency2017-02-07
New Dynamics Behavioral Health LLC 1203 S Central Ave, Phoenix, AZ 85323Substance Abuse Rehabilitation Facility2024-12-23
Annette A Alvarez 295 W Western Avenue, Avondale, AZ 85323Speech-Language Assistant2016-09-01
Shane Esfeld Estrella Center, 350 E La Canada Blvd, Avondale, AZ 85323Physical Therapist2021-03-29
Urbanspectrum Community Based Services 12225 W Buchanan Street, Avondale, AZ 85323Case Management Agency2024-10-04
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.