Active NPI
Levis Treatment Center LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1285408526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LEVIS TREATMENT CENTER LLC
- Practice address
- 4530 E Ray Rd Ste 172
Phoenix, AZ 85044-6099 - Phone
- (480) 906-7761
- Fax
- (463) 201-7899
- NPI assigned
- Nov 7, 2023
- 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
- Anita Mawazo
- Title
- Ceo
- Phone
- (480) 906-7761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4530 E Ray Rd Ste 172
Phoenix, AZ 85044-6099
Mailing address
1052 E Washington Ave
Gilbert, AZ 85234-9014
Phone (480) 906-7761
National Provider Directory
National Provider DirectoryLocations
4530 E Ray Rd
Ste 172
Phoenix, AZ 85044
Phone (480) 759-9191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1285408526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 E WASHINGTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852349014",
"telephone_number": "480-906-7761",
"fax_number": "463-201-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E RAY RD STE 172",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446099",
"telephone_number": "480-906-7761",
"fax_number": "463-201-7899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVIS TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "MAWAZO",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-906-7761"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.