Active NPI
Virginia Waititu, CAREGIVER
- Attendant Care Provider
- Laveen, AZ
National Provider Identifier
1033923537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- AL-13224H
- Practice address
- 8214 S 44TH GLN
Laveen, AZ 85339-5472 - Phone
- (978) 846-9740
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | AL-13224H | AZ | Primary |
Addresses
Primary practice location
8214 S 44TH GLN
Laveen, AZ 85339-5472
Mailing address
8214 S 44TH GLN
Laveen, AZ 85339-5472
Phone (978) 846-9740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL-13224H | AZ | MD | Attendant Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acacia Glen Home Care LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Laveen, AZ
- NPI 1215738380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1033923537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8214 S 44TH GLN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853395472",
"telephone_number": "978-846-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8214 S 44TH GLN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853395472",
"telephone_number": "978-846-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITITU",
"first_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "CAREGIVER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "AZ",
"license": "AL-13224H",
"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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.