Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heritage Life Center LLC

Organization Assisted Living Facility · NPI 1053615906

Heritage Life Center LLC is an Assisted Living Facility in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1040 S Lebaron
Mesa, AZ 85210-3631
Phone: (480) 307-8809
Fax: (480) 781-0019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Assisted Living Facility Taxonomy 310400000X · Licence AL7718C (AZ)

Record details

NPI number1053615906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reed Gunnell — Owner · (480) 307-8809
Other names Heritage Lane Behavioral Assisted Living
NPI enumeratedJanuary 7, 2011
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022
Mailing address1040 S Lebaron, Mesa, AZ 85210-3631

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