NPIMap

Organization Active NPI

Delissia C Leivas LLC

  • Home Health Agency
  • Parker, AZ
National Provider Identifier
1275266785
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DELISSIA C LEIVAS LLC
Practice address
30631 Bluewater Dr
Parker, AZ 85344-7509
Phone
(928) 382-7603
NPI assigned
Jul 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Authorized official

Name
Delissia C LeivasNPI 1881296531
Title
Owner
Phone
(928) 382-7603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Non-emergency Medical Transport (VAN) 343900000X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X
Respite Care 385H00000X

Addresses

Primary practice location

30631 Bluewater Dr
Parker, AZ 85344-7509

Mailing address

30631 Bluewater Dr
Parker, AZ 85344-7509
Phone (928) 382-7603

Other identifiers 1

IdentifierTypeStateIssuer
1881296531OtherAZNPI

Other names 1

  • Delissia C Leivas Home Healthcare LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1275266785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30631 BLUEWATER DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447509",
            "telephone_number": "928-382-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30631 BLUEWATER DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447509",
            "telephone_number": "928-382-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELISSIA C LEIVAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "LEIVAS",
        "authorized_official_first_name": "DELISSIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-382-7603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881296531",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delissia C Leivas Home Healthcare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.