NPIMap

Organization Active NPI

Vicit LLC

  • Substance Abuse Rehabilitation Facility
  • Laveen, AZ
National Provider Identifier
1003589532
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VICIT LLC
Practice address
4430 W St Kateri Dr
Laveen, AZ 85339-6238
Phone
(858) 603-8388
Fax
(602) 916-1467
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Macharia
Title
Administrator
Phone
(858) 603-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4430 W St Kateri Dr
Laveen, AZ 85339-6238

Mailing address

4630 W Fremont Rd
Laveen, AZ 85339-4277
Phone (858) 603-8388

National Provider Directory

National Provider Directory
Tax ID family
Vicit LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1003589532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 W FREMONT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394277",
            "telephone_number": "858-603-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 W ST KATERI DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396238",
            "telephone_number": "858-603-8388",
            "fax_number": "602-916-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "MACHARIA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-603-8388"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.