Organization Active NPI

Levis Treatment Center LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1285408526
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 7, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.