MEDICARE: SUCCESSFUL LIVINGS LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1194688135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUCCESSFUL LIVINGS LLC.

Provider Business Mailing Address
First Line	:	43646 W YUCCA LN
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-2011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	43646 W YUCCA LN
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-2011
Country	:	US
Telephone Number	:	520-483-4219
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	DARRELL LEMONT ELLIS
Credential	:
Telephone Number	:	520-483-4219

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	12/06/2025

Similar Medicare Providers

1174925424 — MR. DARRELL LEMONT ELLIS JR. ADMINISTRATOR
Practice Location Address:

43646 W YUCCA LN
MARICOPA, AZ
85138-2011

Practice Phone: 520-483-4219
Practice Fax:

1518854363 — NATALIA RICHMOND PA-C
Practice Location Address:

44572 W BOWLIN RD
MARICOPA, AZ
85138-4558

Practice Phone: 480-433-8514
Practice Fax:

1568327997 — DR. ALEXIS FAISON PHD, LAC
Practice Location Address:

39889 W GANLY WAY
MARICOPA, AZ
85138-5939

Practice Phone: 336-293-3218
Practice Fax:

1922963099 — SHIELDED PATHWAYS LLC
Practice Location Address:

43938 W PALO OLMO RD
MARICOPA, AZ
85138-3617

Practice Phone: 480-422-4575
Practice Fax:

1356204622 — JEFFERY DECKER
Practice Location Address:

42134 W CORVALIS LN
MARICOPA, AZ
85138-3292

Practice Phone: 737-313-9194
Practice Fax:

1558365957 — DR. JAMES MICHAEL UNDERWOOD D.O.
Practice Location Address:

44572 W BOWLIN RD
MARICOPA, AZ
85138

Practice Phone: 520-568-2316
Practice Fax: 520-568-2316

Directions to “SUCCESSFUL LIVINGS LLC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.