Advantis Health Systems LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANTIS HEALTH SYSTEMS LLC

Practice address

19820 N 7TH Ave Ste 230
Phoenix, AZ 85027-4785

Phone

(602) 265-0077

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Brandon James Maxon Maldonado

Title

Manager/Member

Phone

(602) 265-0077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1043667124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 CENTERVILLE RD",
            "address_2": "STE300, PMB #525",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081645",
            "telephone_number": "602-265-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-265-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTIS HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "602-265-0077"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.