Avis Gifted Hands LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVIS GIFTED HANDS LLC

Practice address

1615 E Le Marche Ave
Phoenix, AZ 85022-3359

Phone

(602) 446-7994

Fax

(623) 213-8835

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Kerrisha Visser

Title

Owner

Phone

(602) 446-7994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1194421677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26703 N 90TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834638",
            "telephone_number": "602-446-7994",
            "fax_number": "623-213-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E LE MARCHE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223359",
            "telephone_number": "602-446-7994",
            "fax_number": "623-213-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIS GIFTED HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "KERRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-446-7994"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.