Avista SCW, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVISTA SCW, LLC

Doing business as

Avista Sun City West Memory Care

Practice address

12820 W Beardsley Rd
Sun City West, AZ 85375-3306

Phone

(623) 552-2200

Fax

(623) 546-5815

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Candice Fine

Title

Authorized Agent

Phone

(480) 244-9173

Specialties & licenses 1

Addresses

Other names 1

• Avista Sun City West Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1023674454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N ARBOLEDA STE 215",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133217",
            "telephone_number": "480-244-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 W BEARDSLEY RD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753306",
            "telephone_number": "623-552-2200",
            "fax_number": "623-546-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTA SCW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-244-9173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avista Sun City West Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.