VVV Adult Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6800H Issued in AZ

Legal business name

VVV ADULT CARE

Practice address

7116 E Medina Ave
Mesa, AZ 85209-4826

Phone

(480) 907-6012

Fax

(480) 588-5012

NPI assigned

Feb 21, 2011

Organization subpart

Yes

Parent organization

EMILY'S PLACEAs reported in NPPES

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

Authorized official

Name

Mr. Justion Garret

Title

Owner

Phone

(480) 907-6012

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jaylee Inc3 organizations share this tax ID, including this one

Part of

Jaylee Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jaylee Inc

  dba casa del sol

  • Assisted Living Facility (Mental Illness)
  • Mesa, AZ
  • NPI 1376830208
  NPD tax ID
• Jaylee Inc

  dba emilys pl and vvv adult

  • Assisted Living Facility
  • Mesa, AZ
  • NPI 1588968176
  NPD tax ID

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1427355841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 E MEDINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094826",
            "telephone_number": "480-907-6012",
            "fax_number": "480-588-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 E MEDINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094826",
            "telephone_number": "480-907-6012",
            "fax_number": "480-588-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVV ADULT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMILY'S PLACE",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "GARRET",
        "authorized_official_first_name": "JUSTION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-907-6012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL6800H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224861",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Vu, DMD
• Thai Hoang Vu, DO
• Jordan Taylor Vulcano, DO
• Andrei Vulpe
• Kimberly Vuong
• Kaylee Wada, DNP, FNP-C
• Amanda Waddell, D.O.
• Stephanie Waddell
• Rachel Claire Waddill, DDS
• E. Mark Wade, DDS

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, 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 21, 2011; 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.