Avanzar Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVANZAR HOME HEALTH CARE, LLC

Practice address

455 N. Mesa Drive
Ste. 9
Mesa, AZ 85201

Phone

(480) 359-9501

Fax

(888) 311-8883

NPI assigned

Jul 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Victoria Evangelista, RN

Title

Administrator

Phone

(480) 840-5818

Specialties & licenses 1

Addresses

Listed as

Avanzar Home Health Care, LLCCCN 037425

Ownership

Proprietary

Certified

Jun 13, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1215291349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E. INDIGO DRIVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "480-359-9501",
            "fax_number": "888-311-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N. MESA DRIVE",
            "address_2": "STE. 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-359-9501",
            "fax_number": "888-311-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZAR HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-840-5818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.