Organization Active NPI

Getaway Advanced Services LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1053877639
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Feb 19, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1401743907OtherDRIVER LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.