OrganizationActive
Engaging Life Integrated Wellness Center
NPI 1023601382 · Non-emergency Medical Transport (VAN) · Youngtown, AZ
Provider details
- NPI number
- 1023601382
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Parent organization
- Engaging Life Center
- Organization subpart
- Yes
- Authorized official
- Henry Mercado, Cfo(602) 845-0767
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12600 N. 13th Avenue
Suite B8
Youngtown, AZ 85363
Phone: (602) 845-0767
Fax: (602) 715-0647
Approximate (ZIP-level) locationGet directions
Mailing address
12600 N. 13th Avenue
Youngtown, AZ 85363
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2021-02-18
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.