Active NPI
Aries N Williams
- Assisted Living Facility
- Surprise, AZ
National Provider Identifier
1427756881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9563H
- Practice address
- 17575 W Evans Dr
Surprise, AZ 85388-7755 - Phone
- (623) 225-2887
- Fax
- (623) 321-8570
- NPI assigned
- Feb 15, 2023
- Last updated
- Feb 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11979H | AZ | |
| Assisted Living Facility | 310400000X | AL9563H | AZ | Primary |
Addresses
Primary practice location
17575 W Evans Dr
Surprise, AZ 85388-7755
Mailing address
17406 N 22ND St
Phoenix, AZ 85022-2233
Phone (623) 224-0400
Other practice location 1
1601 W Villa Maria Dr
Phoenix, AZ 85023-1419
Phone (623) 225-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11979H | AZ | MD | Assisted Living Facility |
| AL9563H | AZ | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1427756881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17406 N 22ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222233",
"telephone_number": "623-224-0400",
"fax_number": "623-321-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17575 W EVANS DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887755",
"telephone_number": "623-225-2887",
"fax_number": "623-321-8570"
}
],
"practiceLocations": [
{
"address_1": "1601 W Villa Maria Dr",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850231419",
"country_code": "US",
"telephone_number": "623-225-2887",
"fax_number": "623-321-8570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ARIES",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL11979H",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL9563H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.