OrganizationActive
Life Care Premier Services LLC
NPI 1164039723 · Mental Health Clinic/Center (Including Community Mental Health Center) · Surprise, AZ
Provider details
- NPI number
- 1164039723
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abby Richardson, Health Care(773) 606-7222
Specialties & taxonomies
Ambulatory Health Care Facilities
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
16400 N 138th Ln
Surprise, AZ 85374-7031
Phone: (773) 606-7222
Street-level locationGet directions
Mailing address
4690 S Lakeshore Dr Apt 3052
Tempe, AZ 85282-1174
Registry dates
- Enumerated
- 2020-09-28
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.