OrganizationActive
New Life Wellness Center LLC
NPI 1164013959 · Public Health or Welfare Agency · Phoenix, AZ
Provider details
- NPI number
- 1164013959
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- James Demasi, Director(702) 355-2695
Specialties & taxonomies
Agencies
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
3725 E Roeser Rd Ste 15
Phoenix, AZ 85040-3966
Phone: (702) 355-2695
Street-level locationGet directions
Mailing address
3725 E Roeser Rd Ste 15
Phoenix, AZ 85040-3966
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.