Active NPI
Getaway Advanced Services LLC
- Community/Behavioral Health Agency
- Tucson, AZ
National Provider Identifier
1053877639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GETAWAY ADVANCED SERVICES LLC
- Practice address
- 3780 E Felix Blvd
Tucson, AZ 85706-1926 - Phone
- (470) 250-2250
- NPI assigned
- Feb 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy Williams
- Title
- Owner
- Phone
- (702) 502-2504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3780 E Felix Blvd
Tucson, AZ 85706-1926
Mailing address
6212 Hardgate St
North Las Vegas, NV 89031-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401743907 | Other | DRIVER LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550534400000",
"number": "1053877639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6212 HARDGATE ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890311392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 E FELIX BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857061926",
"telephone_number": "470-250-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETAWAY ADVANCED SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-502-2504"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE NUMBER",
"identifier": "1401743907",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.