Organization Active NPI

Averra Homecare LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1023966363
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AVERRA HOMECARE LLC
Practice address
3838 N Central Ave Ste 928
Phoenix, AZ 85012-1906
Phone
(480) 214-5330
Fax
(280) 219-2454
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Mattie Gaffney
Title
Ceo
Phone
(602) 706-2380

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3838 N Central Ave Ste 928
Phoenix, AZ 85012-1906

Mailing address

3838 N Central Ave
Site 928
Phoenix, AZ 85012-1906
Phone (480) 214-5330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1023966363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE",
            "address_2": "SITE 928",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121906",
            "telephone_number": "480-214-5330",
            "fax_number": "480-219-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 928",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121906",
            "telephone_number": "480-214-5330",
            "fax_number": "280-219-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERRA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-706-2380"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.